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Hum. Reprod. Advance Access published online on May 18, 2006

Human Reproduction, doi:10.1093/humrep/del161
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received January 31, 2006
Revised April 11, 2006
Accepted April 13, 2006

Opinion

The role of three-dimensional ultrasonography in polycystic ovary syndrome

Po-Mui Lam 1 * and Nick Raine-Fenning 2

1 O&G, The Chinese University of Hong Kong, Hong Kong, China
2 School of Human Development, Academic Division of Reproductive Medicine, University of Nottingham, Nottingham, UK

* To whom correspondence should be addressed.
Po-Mui Lam, E-mail: lampomui{at}cuhk.edu.hk


   Abstract

The 2003 Rotterdam diagnostic criteria for polycystic ovary syndrome (PCOS) support the objective role of ultrasound in defining the appearance of the PCO, but there are significant limitations of these new guidelines from an ultrasound perspective that must be considered. Three-dimensional (3D) ultrasound provides a new method for the objective quantitative assessment of follicle count, ovarian volume, stromal volume and blood flow within the ovary as a whole. Since the introduction of 3D ultrasonography, there have been increasing publications on PCOS, each addressing different areas and reporting different results. This review critically examines these studies in an attempt to clarify the evidence to date and thereby establish the current role of 3D ultrasonography in PCOS.

Keywords: polycystic ovary syndrome/review/three-dimensional/Rotterdam/ultrasound.
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