Doppler evaluation of the uterine, intraovarian, stromal and spiral arteries on the day of human chorionic gonadotrophin administration in controlled ovarian hyperstimulation

The aim of this prospective study was to investigate the ability of transvaginal power Doppler ultrasonography to assess the relationship between the pulsatility indices (PI) of uterine, spiral and ovarian arteries and endometrial thickness on the day of, but just before, human chorionic gonadotroph...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2003-07, Vol.23 (4), p.402-406
Main Authors: YALTI, S, GÜRBÜZ, B, FICICIOGLU, C, CANOVA, H
Format: Article
Language:English
Subjects:
Adult
Arteries - diagnostic imaging
Blood vessels
Chorionic Gonadotropin - administration & dosage
Endometrium - diagnostic imaging
Female
Humans
Infertility, Female - diagnostic imaging
Infertility, Female - therapy
Medical research
Ovary - blood supply
Ovulation Induction
Pregnancy
Prospective Studies
Pulsatile Flow
Reproductive system
Ultrasonic imaging
Ultrasonography, Doppler, Color
Uterus - blood supply
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Summary:The aim of this prospective study was to investigate the ability of transvaginal power Doppler ultrasonography to assess the relationship between the pulsatility indices (PI) of uterine, spiral and ovarian arteries and endometrial thickness on the day of, but just before, human chorionic gonadotrophin administration and the relationship to pregnancy outcome. Fifty-seven patients were recruited to the study. The mean PI values of the uterine arteries demonstrate significant differences between the women who conceived and those who did not. The mean PI values of the intraovarian flow also demonstrated significant differences between the left and right PI values and between the PI of the women who conceived and those who did not. Mean PI values of the spiral arteries and endometrial thickness did not demonstrate any significant difference between the women who conceived and those who did not. The parameters used currently in colour Doppler assessment of ovarian stromal, uterine and spiral artery perfusion are clinically helpful in discriminating prospectively which patients will and will not become pregnant in controlled ovarian hyperstimulation, insemination programme.
ISSN:0144-3615
1364-6893
DOI:10.1080/0144361031000120914