Clinical aspects of evaluation and treatment of sclerocystic ovaries

Sclerocystic ovarian disease is primarily a clinical diagnosis, since there is no pathognomonic physical finding or laboratory study. The purpose of this study was to evaluate in a planned manner consecutive patients suspected of having sclerocystic ovarian disease. Fifty-five consecutive clinic and private cases diagnosed by this plan were carefully studied in relation to menstrual history, physical findings, laboratory studies, and clinical follow-up. Criteria for operation were outlined. In this group of patients, 54 patients had secretory endometrium on first postoperative period, 44 continued regular ovulatory period for one year, and 63 per cent of patients with patent tubes became pregnant in the first 2 years postoperatively.