RECURRENT MISCARRIAGE - SCREENING FOR POLYCYSTIC OVARIES AND SUBSEQUENT PREGNANCY OUTCOME

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.