Recurrent miscarriage: screening for polycystic ovaries and subsequent pregnancy outcome

The Australian & New Zealand Journal of Obstetrics & Gynaecology
H S LiddellC M Farquhar

Abstract

A population of women with a history of recurrent miscarriage were screened for polycystic ovaries (PCO) by an ultrasound, LH, FSH, free testosterone in the follicular phase, then luteal phase progesterone and body mass index (BMI). Twenty six of the 73 women screened (36%) had an ultrasound demonstrating PCO; of these 21 (81%) became pregnant and 17 were given supportive and observational care only. The miscarriage rate was 18% with 14 (82%) having livebirths. Twenty seven of the 47 women with normal ovaries (74%) became pregnant; 31 had supportive care only and 6 (19%) miscarried with 25 (81%) having a livebirth. We conclude that the ultrasound diagnosis of PCO in women with a history of recurrent miscarriage does not necessarily predict a poor outcome in subsequent pregnancy.

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Citations

Aug 12, 2003·Fertility and Sterility·Imran Pirwany, Togas Tulandi
May 23, 2012·Human Reproduction Update·UNKNOWN ESHRE Capri Workshop Group
Nov 1, 2005·Current Opinion in Obstetrics & Gynecology·Belinda CarringtonLesley Regan
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Oct 30, 2004·Reproductive Biomedicine Online·Ozkan OzturkEric Jauniaux
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Jun 13, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Roger Hart, Robert Norman
Feb 25, 2000·Human Reproduction·R RaiL Regan
Jul 27, 2006·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Catherine J YangAlistair W Stewart
Jul 2, 2009·Journal of Autism and Developmental Disorders·Susan W WhiteAnne Marie Albano
Aug 30, 2011·Journal of Autism and Developmental Disorders·Susan W WhiteBrenna B Maddox
Oct 23, 2003·Endocrine Reviews·Vincenzo De LeoFelice Petraglia
Sep 7, 2010·Reproductive Medicine and Biology·Tetsurou SakumotoMasahiro Higashi

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