Uterine artery Doppler indices: pulsatility index and resistance index as predictive tools for the incidence of heavy menstrual bleeding related to copper intrauterine contraceptive device

Objectives To assess the predictive value of the initial uterine artery Doppler indices, the pulsatility index (PI), and resistance index (RI) in the prediction of heavy menstrual bleeding before and after copper intrauterine contraceptive device (IUCD) insertion. Methods The current prospective cli...

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Bibliographic Details
Published in:Obstetrics & gynecology science 2021-05, Vol.64 (3), p.309
Main Authors: Alaa Mohamed Attia, Mohammed El-husseiny Radwan, Yousef Abo Elwan, Hend Salah Abdo Saleh
Format: Article
Language:Korean
Subjects:
Copper intrauterine contraceptive device
index
Pulsatility index and resistance
Transvaginal Doppler ultrasound
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Summary:Objectives To assess the predictive value of the initial uterine artery Doppler indices, the pulsatility index (PI), and resistance index (RI) in the prediction of heavy menstrual bleeding before and after copper intrauterine contraceptive device (IUCD) insertion. Methods The current prospective clinical study included 100 women who intended to use a copper IUCD (Cu T-380A) and met the inclusion criteria. Uterine artery Doppler PI and RI indices were calculated before IUCD insertion and at three and six months after insertion. Based on the presence or absence of menorrhagia, all women were classified into two groups: non-bleeding (n=52) and extreme menstrual bleeding (n=48). Receiver operating curve analysis was used to determine the predictive value of uterine artery PI and RI in patients with menorrhagia relevant to IUCD. Results The PI and RI indices displayed a highly significant difference between the IUCD groups at three and six months after insertion (P
ISSN:2287-8572