ASSOCIATION OF BODY MASS INDEX AND DIETARY HABITS WITH OVARIAN AND UTERINE MORPHOLOGY WITH SUBFERTILE POLYCYSTIC OVARIAN SYNDROME

Objective: to correlate ovarian and uterine morphology in subfertile patients having polycystic ovarian syndrome with their body mass index (bmi) and eating habits methodology: one hundred subjects were included in this cross sectional study having ages between 20-40 years with history of subfertilty for the past two years. bmi (kg/m^2) was measured according to who protocol. ovarian volume, follicle count and size, uterine area, endometrial thickness were measured sonographically and noted. dietary habits were recorded by a structured questionnaire from all participants results: according to bmi two groups of 50 subjects each were formed; group i= 25.6 ± 4.7 kg/m^2 and group ii= 28.6 ± 5.7 kg/m^2. the follicular count was 14.41± 2.18 and 12.75± 2.80; the follicular size (in mm) was 8.23±0.41 and 3.29±0.25 (p-value 0.023 & 0.001). the uterine area (in cm^2) and endometrial thickness (in cm) was 86.9±25.7 and 117.2±29 (p-value 0.001 and 0.05). the ovarian volume (ov) estimated by trans-abdominal scan (tas) was 10.87±2.49 cm^3 and 14.33±3.17 cm^3 (p-value=0.022). the trans-vaginal scan (tvs) showed ov; 11.44±2.36 cm^3 and 14.79±2.19 cm^3 (p-value=0.034). a weak positive correlation of bmi with ov (tvs) was observed (r=0.05). the ovarian volume in those women who consumed fast food frequently was significantly raised as compared to those who rarely ate fast food; the difference was 14.57±3.75 vs. 9.62±2.43 (p value 0.00). conclusion: with increasing body mass index the ovarian volume, uterine area and endometrial thickness increases. however the follicular count and follicular size is reduced with higher bmi.