Assessment of Changes in Uterine and Subendometrial Blood Flows By Doppler Sonography in Women Undergoing Assisted Reproduction

Authors

  • Ayşe Figen Türkçapar Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara
  • Özlem Moraloğlu Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara
  • Tülin Özdener Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara
  • Berna Seçkin Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara
  • Esra Tonguç Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara
  • Turgut Var Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara
  • Mustafa Uğur Dr. Zekai Tahir Burak Woman’s Health Education and Research Hospital Assisted Reproduction Unit, Ankara

Keywords:

Endometrial and subendometrial blood flows, Assisted reproduction, Doppler ultrasonography, Uterine artery blood flow

Abstract

OBJECTIVE: The aim of this study was to evaluate the relationship between uterine Doppler flow and endometrial and subendometrial blood flows and uterine receptivity during ICSI cycles.
STUDY DESIGN: A prospective observational study was conducted in sixty-eight women undergoing in-vitro fertilization-embryo transfer (IVF-ET) treatment. All of them had at least one good-quality embryo for transfer on the third day after oocyte retrieval. A color Doppler ultrasound examination was performed on the day of hCG injection and midluteal phase. Pulsatility and resistance index of uterine vessels, and vascularization and endometrial and subendometrial flows were evaluated.
RESULTS: The age, duration of infertility or number of embryos transferred of the women who conceived (n=16) and those who did not (n=44) did not statistically significantly differ. The mean endometrial thicknesses of the two groups on hCG day and 5-6days after embryo transfer were not statistically significantly different. The mean uterine arterial resistance index (RI) and Pulsatility Index (PI) values of
the two groups were not significantly different on hCG day, but both indices were significantly lower in the pregnant than in the non-pregnant group in mudluteal phase (p=0.05 and 0.016, respectively). In addition, no significant differences were found between the two groups in subendometrial blood flow.
CONCLUSION: In patients undergoing IVF-ICSI and embryo transfer, Doppler ultrasound examination of the uterine artery and subendometrial blood flow on hCG day do not discriminate the cycles resulting in conception and non-conception, but especially low mean PI of uterine artery in 5-6 days after ET can predict pregnancy.

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Published

2010-08-10

How to Cite

1.
Türkçapar AF, Moraloğlu Özlem, Özdener T, Seçkin B, Tonguç E, Var T, Uğur M. Assessment of Changes in Uterine and Subendometrial Blood Flows By Doppler Sonography in Women Undergoing Assisted Reproduction. Gynecol Obstet Reprod Med [Internet]. 2010Aug.10 [cited 2022Aug.14];16(2):91-7. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/346

Issue

Section

Reproductive Medicine: Endocrinology and Infertility

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