Polycystic ovary syndrome is a multi-factorial disease. It is the most common endocrine disorder in women of child- bearing age. This clinical characterized of diseases include disrupted ovulation and hyperandrogenism, but the clinical picture and symptom intensity can vary. Currently, the ultrasound assessment of ovaries is one of the essential criteria for the diagnosis of PCOS according to the Rotterdam consensus (2003) and Androgen Excess and PCOS Society (2006). This criterion is determined by the presence of ≥12 follicles within the ovary with a diameter of 2–9 mm and/or ovarian volume ≥10 cm3. Such ultrasound image in one ovary only is sufficient to identify polycystic ovaries. The finding of polycystic ovaries with polycystic ovary syndrome is confirmed in over 90% of cases irrespective of ethnic factors or race. The assessment of hormone levels as an equivalent of ultrasound features of polycystic ovaries is a promising method. However, aim of this study was to determine that the typical finding of polycystic ovaries in women diagnosed clinically or hormonal levels in population of Karachi.
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