International Journal of Reproductive Medicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
Vol. 8, No. 3, 2010, pp. 135-138
Bioline Code: rm10024
Full paper language: English
Document type: Short Communication
Document available free of charge
International Journal of Reproductive Medicine, Vol. 8, No. 3, 2010, pp. 135-138
© Copyright 2010 - Iranian Journal of Reproductive Medicine
Perifollicular and subendometrial blood flow and ICSI cycle outcome|
Pourmatroud, Elham; Rashidi, Batool Hosein & Rahmani, Maryam
Background: There is a fundamental correlation between follicles and endometrium in intracytoplasmic sperm injection (ICSI) cycles.
Objective: To assess the relation between perifollicular perfusion and sub endometrial parameters in Doppler ultrasonography and outcome of in ICSI cycles.
Materials and Methods: In this prospective descriptive pilot study, 10 patients were enrolled. Strict inclusion criteria were considered. Routine long protocol was used for ICSI. On the day of follicle retrieval, colour Doppler indices were determined. Sub endometrial pulsatility index (PI) and resistance index (RI) and perifollicular perfusion were assessed. After oocyte retrieval the count of metaphase 2 (M2) oocytes, emberyo with grade A quality and the result of cycle were evaluated also.
Results: RI and PI indices had a positive correlation. Follicles with =18 mm diameter and follicles with >75% perfusion had a direct relation. Also, subendometrial RI had a significant relation with follicular status (p-value= 0.04), But there was not a significant triple correlation (between endometrium, follicles and outcome).
Conclusion: The mutual effects of vascularization status in two fundamental parts in ART, is still unclear. The evaluation with Doppler ultrasonography should focus on two compartments together as one functional part at the same time. It means even in presence of good markers in each part, the final decision must be taken by co-evaluation of follicles and endometrium.
Doppler sonography, Endometrium, Follicle, ICSI.
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