ROLE OF 2D DOPPLER ULTRASOUND ON THE DAY OF EMBRYO TRANSFER IN PREDICTING PREGNANCY IN ICSI
Ragheb, S., Sharara, S., Aly, M., El-Sherbiny, M., Mohammad, H., Badran, H. (2019). ROLE OF 2D DOPPLER ULTRASOUND ON THE DAY OF EMBRYO TRANSFER IN PREDICTING PREGNANCY IN ICSI. EKB Journal Management System, 70(10, 11 & 12), 565-577. doi: 10.21608/asmj.2019.101245
Samar Ramzy Ragheb; Sherine Mohamed Sharara; Mohamed Sayed Aly; Mohamed Mahmoud El-Sherbiny; Hayam Fathy Mohammad; Hussam Afify Badran. "ROLE OF 2D DOPPLER ULTRASOUND ON THE DAY OF EMBRYO TRANSFER IN PREDICTING PREGNANCY IN ICSI". EKB Journal Management System, 70, 10, 11 & 12, 2019, 565-577. doi: 10.21608/asmj.2019.101245
Ragheb, S., Sharara, S., Aly, M., El-Sherbiny, M., Mohammad, H., Badran, H. (2019). 'ROLE OF 2D DOPPLER ULTRASOUND ON THE DAY OF EMBRYO TRANSFER IN PREDICTING PREGNANCY IN ICSI', EKB Journal Management System, 70(10, 11 & 12), pp. 565-577. doi: 10.21608/asmj.2019.101245
Ragheb, S., Sharara, S., Aly, M., El-Sherbiny, M., Mohammad, H., Badran, H. ROLE OF 2D DOPPLER ULTRASOUND ON THE DAY OF EMBRYO TRANSFER IN PREDICTING PREGNANCY IN ICSI. EKB Journal Management System, 2019; 70(10, 11 & 12): 565-577. doi: 10.21608/asmj.2019.101245

ROLE OF 2D DOPPLER ULTRASOUND ON THE DAY OF EMBRYO TRANSFER IN PREDICTING PREGNANCY IN ICSI

Ain Shams Medical Journal
Article 1, Volume 70, 10, 11 & 12, July 2019, Page 565-577  XML PDF (407.98 K)
Document Type: Original Article
DOI: 10.21608/asmj.2019.101245
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Authors
Samar Ramzy Ragheb1; Sherine Mohamed Sharara1; Mohamed Sayed Aly2; Mohamed Mahmoud El-Sherbiny2; Hayam Fathy Mohammad2; Hussam Afify Badran2
1Department of radiodiagnosis, Faculty of Medicine, Ain Shams University Hospital, EGYPT.
2Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University Hospital, EGYPT.
Abstract
Background: Endometrium examination by Ultrasound is commonly used to assess the endometrial receptivity during in vitro fertilization (IVF) treatment. Aim of the work: To evaluate the role of pulsatility index (PI) of uterine artery blood flow during IVF-ET cycles in prediction of pregnancy rate. Patients & Methods: A prospective study was conducted at
Maternity Hospital of Ain Shams University in cooperation with the department of Radiodiagnosis. It included 400 females, diagnosed as infertility for ICSI (Intracytoplasmic sperm injection) trial. The uterine artery parameters (PI & RI) and endometrial thickness were measured by 2D Doppler ultrasound on the day of embryo transfer. ICSI_ET led to 193 clinical pregnancies with multiple pregnancies in 38 cases. The pregnancy rate was 48.25% with application of the Gonadotropin-releasing hormone (GnRH) long protocol, and the implantation rate was 30% of (N=120 cases). The 193 intrauterine
pregnancies were classified as the pregnant group (P); the other 207 cases were classified as the non pregnant group (NP). Results: There was statistically significant difference as regards pregnancy outcome in the sub-endometrial blood flow PI (p value 0.01) which is lower in pregnant group (P) than non pregnant ones (NP). However there was no statistically significant difference as regards the mean midcycle endometrial thickness in pregnant group (P) were 11.35 and that of non pregnant group (NP) was 10.8 with P value (0. 62). Conclusion: Midluteal phase of females with unexplained infertility have been shown to be of some value in predicting pregnancy rates.
Keywords
Uterine artery; PI; sub-endometrial blood flow; 2D Doppler ultrasound; Infertility; ICSI
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