Assessment of Polycystic Ovarian Syndrome with Emphasis on Imaging Modalities

Year : 2026 | Volume : 16 | 01 | Page :
    By

    Urbain Muzafer,

  1. Assistant Professor, Department of Radiodiagnosis and Imaging Technology, Bee Enn College of Nursing and Allied Sciences, Chak Balwal, Jammu, Jammu & Kashmir, India

Abstract

Polycystic Ovarian Syndrome (PCOS) is a higly prevalent hormonal disorder that affects women during their reproductive age. It is linked to a wide range of health concerns ,including disturbances in reproductive functions, metabolic abnormalities and an increased risk of cardiovascular diseases. Ultrasonography plays a crucial role in identifying polycystic ovarian morphology, which constitutes one of the key diagnostic criteria under the Rotterdam consensus. This prospective cross-sectional observational study was conducted at District Hospital Kulgam to compare the effectiveness of Transabdominal Sonography (TAS) and Transvaginal Sonography (TVS) in detecting polycystic ovaries. A total of 105 symptomatic women aged 15–45 years presenting with irregular menstruation, infertility, obesity, or clinical features of hyperandrogenism were included. Among them, 69 underwent TAS, 30 underwent TVS, and 6 underwent both modalities. Ovarian volume and antral follicle count were assessed according to standardized ultrasonographic criteria. The prevalence of polycystic ovarian morphology detected by TAS was 66.5%, while TVS detected 28.4% of cases. Not as much difference was observed between the two modalities in diagnosing polycystic ovaries. However, TVS provided better visualization in obese patients and in women unable to maintain adequate bladder distension. Despite its diagnostic advantages, TVS acceptance was limited, especially among unmarried women due to sociocultural concerns. The study concludes that both TAS and TVS are valuable imaging modalities in evaluating polycystic ovarian morphology. Clinical and biochemical correlation remains essential, as ultrasound findings alone are insufficient for diagnosing PCOS.

Keywords: Polycystic Ovarian Syndrome, PCOS, Transabdominal Ultrasound, Transvaginal Ultrasound, Ovarian Volume, Antral Follicle Count

How to cite this article:
Urbain Muzafer. Assessment of Polycystic Ovarian Syndrome with Emphasis on Imaging Modalities. Research and Reviews : A Journal of Life Sciences. 2026; 16(01):-.
How to cite this URL:
Urbain Muzafer. Assessment of Polycystic Ovarian Syndrome with Emphasis on Imaging Modalities. Research and Reviews : A Journal of Life Sciences. 2026; 16(01):-. Available from: https://journals.stmjournals.com/rrjols/article=2026/view=244062


References

  1. Niazi M, Kamal MM, Malik N, Farooq MA, Wahid N. Transabdominal vs transvaginal sonography-comparison in pelvic pathologies. Journal of Rawalpindi Medical College. 2015 Dec 30;19(3).
  2. Kadri S, Izhar S, Azeem N, Rashid S, Gudaro ZN. Trans abdominal versus transvaginal ultrasound in assessment of polycystic ovary. The Professional Medical Journal. 2021 Feb 10;28(02):202-7.
  3. Mendelson E, Bohm-Velez M, Joseph N, Neiman HL. Gynecologic imaging: comparison of transabdominal and transvaginal sonography. Radiology. 1988 Feb;166(2):321-4.
  4. Mahmutyazıcıoğlu K, Tanrıverdi HA, Özdemir H, Barut A, Davşancı H, Gündoğdu S. Transabdominal pulse inversion harmonic imaging improves assesment of ovarian morphology in virgin patients with PCOS: comparison with conventional B-mode sonography. European journal of radiology. 2005 Feb 1;53(2):280-6.
  5. Park SY, Lee SR, Jeong K, Chung HW. Diagnostic usefulness of transrectal ultrasound compared with transvaginal ultrasound assessment in young Korean women with polycystic ovary syndrome. Journal of menopausal medicine. 2015 Dec 1;21(3):149-54.
  6. Pea J, Bryan J, Wan C, Oldfield AL, Ganga K, Carter FE, Johnson LM, Lujan ME. Ultrasonographic criteria in the diagnosis of polycystic ovary syndrome: a systematic review and diagnostic meta-analysis. Human reproduction update. 2024 Jan 1;30(1):109-30.
  7. Farquhar CM, Birdsall M, Manning P, Mitchell JM. Transabdominal versus transvaginal ultrasound in the diagnosis of polycystic ovaries in a population of randomly selected women. Ultrasound in Obstetrics and Gynecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology. 1994 Jan 1;4(1):54-9.
  8. Akhter N, Sana S, Anjum F, Tariq M, Afzaal M, Siddique Z, Sana A. The Role of Imaging and Biochemistry in the Diagnosis and Management of Polycystic Ovary Syndrome (PCOS). Understanding Polycystic Ovary Syndrome-Symptoms, Diagnosis, and Treatment Options: Symptoms, Diagnosis, and Treatment Options. 2025 Nov 19;107.
  9. Kenigsberg LE, Agarwal C, Sin S, Shifteh K, Isasi CR, Crespi R, Ivanova J, Coupey SM, Heptulla RA, Arens R. Clinical utility of magnetic resonance imaging and ultrasonography for diagnosis of polycystic ovary syndrome in adolescent girls. Fertility and sterility. 2015 Nov 1;104(5):1302-9.
  10. Hassan MG, Alabdulaziz L, Alsadhan R, Alotaibi A, Alghamdi S, bin Ammar A, Alotaibi T, Alrajhi A, Alowayshiq R, Alduraibi A. Prediction of Transabdominal Ultrasound for Detection of Polycystic Ovary Using Hormonal Profile as Gold Standard. Journal of Clinical Ultrasound. 2025 May 23.
Ahead of Print Subscription Original Research
Volume 16
01
Received 15/01/2026
Accepted 17/03/2026
Published 18/03/2026
Publication Time 62 Days
2

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