Hs. Liddell et al., RECURRENT MISCARRIAGE - SCREENING FOR POLYCYSTIC OVARIES AND SUBSEQUENT PREGNANCY OUTCOME, Australian and New Zealand Journal of Obstetrics and Gynaecology, 37(4), 1997, pp. 402-406
A population of women with a history of recurrent miscarriage were scr
eened for polycystic ovaries (PCO) by an ultrasound, LH, FSH, free tes
tosterone in the follicular phase, then luteal phase progesterone and
body mass index (BMI). Twenty six of the 73 women screened (36%) had a
n 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 w
omen with normal ovaries (74%) became pregnant; 31 had supportive care
only and 6 (19%) miscarried with 25 (81%) having a livebirth. We conc
lude that the ultrasound diagnosis of PCO in women with a history of r
ecurrent miscarriage does not necessarily predict a poor outcome in su
bsequent pregnancy.