MIDLUTEAL COLOUR DOPPLER ULTRASONOGRAPHIC ASSESSMENT OF UTERINE BLOOD FLOW IN UNEXPLAINED INFERTILITY AND RECURRENT MISCARRIAGE | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 6, Volume 10, Issue 1, January 2006, Page 37-44 PDF (665.64 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2006.4996 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Wafaa Aboul Enien; Amal Azzam | ||||
| Department of Obstetrics & Gynaecology, Faculty of Medicine, Alexandria University. | ||||
| Abstract | ||||
| Objective: To evaluate the difference in uterine artery impedance to hlood now among women with unexplained infertility and recurrent pregnancy loss in the midlutcal phase or spontaneous cycles. Design: Prospective study. Setting: Department of Obstetrics and Gynaecology, Shatby University Hospital, Alexandria. Subjects: Thirty women with unexplained infertility (group A), twenty women with a history of recurrent pregnancy loss (group B) and twenty fertile controls (group C). Interventions: Midluteal sonographic evaluation of uterine artery impedance to hlood now and endometrial thickness. Main outcome measures: The mean right and left uterine artery pulsatility index (PI values). Results: PI values did not differ significantly in unexplained infertility (1.83 ± 0.55) and recurrent pregnancy loss (1.73 ± 0.49) compared to controls (1.84 ± 0.48). However, endometrial thickness was significantly decreased in unexplained infertility (9.17 ± 1.93 mm) and recurrent pregnancy loss (9.1 ± 2.13 mrn) compared to controls (12.6 ± 2.22 mm). There was no significant correlation between PI values and endometrial thickness in all the studied groups (p > 0.05). However there was a significant positive correlation between PI values and age (r = 0.4666, p = 0.001). Conclusion: Evaluation of uterine impedance hy pulsed Doppler ultrasound in patients with unexplained infertility and recurrent miscarriage is considered an investigational technique without sufficient proven clinical benefits. | ||||
| Keywords | ||||
| Midluteal; Doppler; Unexplained infertility; Recurrent pregnancy loss; Pulsatility Index; Endometrial; thickness | ||||
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