Aims: Today, the definition of polycystic ovarian syndrome (PCOS) includes a wide range of signs and symptoms such as ultrasound features of ovaries, ovarian factor infertility, hyperandrogenism, obesity and insulin resistance, that each of these disorders cause to various symptoms and manifestations. The aim of this study was to determine the prevalence of PCOS based on clinical signs and ultrasound examination and their pregnancy outcomes.
Instruments & Methods: This retrospective descriptive cross-sectional study was conducted on 259 patients referred to infertility clinic of Sarem Hospital  from 2016 to 2018. The records of all patients who met two criteria of the main three Rotterdam criteria were included in the study. Data were analyzed by SPSS 22 software using independent t-test, Mann-Whitney U and Fisher exact tests.
Findings: 62.2% of participants were diagnosed to have PCOS in ultrasonography findings and 38.7% had hirsutism symptoms in clinical examinations and  only 4.2% of this participants, had acne symptoms. 56.8% had no menstrual disorders. BMI, LH, FSH, AMH and age had a significant relationship with the ultrasound scan of the PCOS (P<0.05). In 23.6% of the patients with positive sonography of the PCOS, pregnancy test was positive and in 14.7% of them, clinical pregnancy was positive and only 7.3% of them had the birth of a live newborn.
Conclusion: Polycystic ovarian syndrome is a multifactorial disorder which has a wide range of clinical and biochemical complications and symptoms.