A Comparative Study on Quantitative Assessment of Blood Flow and Vascularization in Polycystic Ovary Syndrome Patients and Normal Women Using Three-Dimensional Power Doppler Ultrasonography

  • Nitasha GargEmail author
  • Harkiran Kaur Khaira
  • Manjot Kaur
  • Smita Sinha
Original Article


Purpose of the Study

To compare the quantitative assessment of blood flow and vascularization of ovaries in polycystic ovary syndrome patients and normal women using three-dimensional power Doppler ultrasonography.


This cross-sectional quantitative study was conducted on women of reproductive age group (15–45 years) attending Gynaecology OPD AIMSR, Bathinda, Punjab. Thirty women were enrolled in polycystic ovarian syndrome (PCOS) group and 30 healthy women in control group. Women were categorized as polycystic ovary syndrome according to Rotterdam’s criteria. The women with PCOS underwent transvaginal USG Doppler on day 6 of the cycle using 3D power Doppler USG equipment (GE Voluson E8), and vascularization index (VI), flow index (FI) and vascularization flow index (VFI) were measured.


The mean values of VI, FI and VFI measured by power Doppler ultrasonography were significantly increased (P value = 0.000) in women with PCOS when compared with healthy women.


This study suggests that blood flow and vascularization measured by 3D power Doppler ultrasonography in ovaries of polycystic ovary syndrome patients were significantly more than the ovaries of normal women.


Polycystic ovary syndrome Three-dimensional power Doppler ultrasonography Vascularization index (VI) Flow index (FI) Vascularization flow index (VFI) 


Compliance with Ethical Standards

Conflict of Interest

The authors declared that there was no conflict of interest.

Ethical Approval

Research protocol was approved by the institutional ethics committee.

Informed Consent

Informed consent was obtained from all subjects for being included in the study.


  1. 1.
    Legro RS, Arslanian SA, Ehrmann DA, et al. Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013;98(12):4565–92.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Gianchandani RY, Saberi S, Patil P, et al. Prevalence and determinants of glycemic abnormalities in cardiac surgery patients without a history of diabetes: a prospective study. Front Endocrinol. 2015;6:125.CrossRefGoogle Scholar
  3. 3.
    Al-Rab MT, Mohammed AB, Mo’men MH, et al. Three-dimensional power Doppler indices of ovarian stromal blood flow and serum vascular endothelial growth factor after laparoscopic ovarian drilling in women with polycystic ovary syndrome. Middle East Fertil Soc J. 2015;20(3):138–43.CrossRefGoogle Scholar
  4. 4.
    El Behery MM, Diab AE, Mowafy H, et al. Effect of laparoscopic ovarian drilling on vascular endothelial growth factor and ovarian stromal blood flow using 3-dimensional power Doppler. Int J Gynecol Obstet. 2011;112(2):119–21.CrossRefGoogle Scholar
  5. 5.
    Elmashad AI. Impact of laparoscopic ovarian drilling on anti-Müllerian hormone levels and ovarian stromal blood flow using three-dimensional power Doppler in women with anovulatory polycystic ovary syndrome. Fertil Steril. 2011;95(7):2342–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Lam P, Raine-Fenning N, Cheung L, et al. Three-dimensional ultrasound features of the polycystic ovary in Chinese women. Ultrasound Obstet Gynecol. 2009;34(2):196–200.CrossRefPubMedGoogle Scholar
  7. 7.
    Dumont A, Robin G, Catteau-Jonard S, et al. Role of Anti-Müllerian Hormone in pathophysiology, diagnosis and treatment of polycystic ovary syndrome: a review. Reprod Biol Endocrinol. 2015;13(1):1.CrossRefGoogle Scholar
  8. 8.
    Senaldi L, Gopi RP, Milla S, et al. Is ultrasound useful in the diagnosis of adolescents with polycystic ovary syndrome? J Pediatr Endocrinol Metab. 2015;28(5–6):605–12.PubMedGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2017

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyAdesh Institute of Medical Sciences and ResearchBathindaIndia
  2. 2.Department of RadiodiagnosisAdesh Institute of Medical Sciences and ResearchBathindaIndia

Personalised recommendations