Correlation of clinical features, hormonal assays and ultrasonological features in women diagnosed with polycystic ovarian syndrome: A cross-sectional observational study

Background: Polycystic Ovary Syndrome is one of the most common endocrine disorders affecting women of reproductive age and is characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology. It is associated with reproductive, metabolic, and dermatological manifestations such as menstrual irregularities, infertility, acne, and hirsutism. Despite its high prevalence, the relationship between clinical features, hormonal abnormalities, and ultrasonographic findings is not always clearly understood. Understanding these correlations is essential for improving diagnostic accuracy and developing effective management strategies. Methods: This prospective cross-sectional observational study was conducted in the Department of Obstetrics and Gynaecology at Burdwan Medical College and Hospital from June 2024 to December 2025. A total of 139 women aged 15-35 years diagnosed with PCOS were included based on the Rotterdam criteria. Data were collected using a structured proforma including clinical history, anthropometric measurements, biochemical investigations, and ultrasonographic findings. Clinical features such as acne, hirsutism, and menstrual irregularities were recorded. Hormonal assays included total testosterone and LH/FSH ratio. Metabolic parameters such as fasting blood sugar, post-prandial blood sugar, and lipid profile were also assessed. Ultrasonography was used to evaluate ovarian volume and follicle count. Statistical analysis was performed using SPSS version 25, and a p-value