Biophysical Scoring of the Endometrium and Intrauterine Insemination Outcome in the Patient with Infertility
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Infertility is a condition affecting the couple at its ground level – ability to reproduce. Apart from medical and social consequences, it is also having psychological consequences having spectrum of manifestation from loss of self-confidence to depression. There are many transvaginal sonographic (TVS) indicators that can predict the successful implantation by the Doppler study of the endometrial growth pattern and its perfusion. Objectives: To find out the efficacy and usefulness of the TVS color Doppler, especially power Doppler for the assessment of endometrial biophysical scoring and its receptivity for assisted reproductive technique such as intrauterine insemination (IUI) outcome in patients with infertility. Materials and Methods: A total of 90 patients were included in this study undergoing IUI procedures and were evaluated for the endometrial thickness and its morphological appearance, myometrial contractions, and endometrial and subendometrial perfusion. Results: 34 cases had biophysical scoring ≥17 in which 17 (50%) females conceived. Among 82 females with endometrial thickness 7-14 mm 26.82% females conceived. 32.07% (17/53), 19.23% (5/26), and 18.18% (2/11) females showed positive outcome in distinct trilamilar, indistinct trilamilar, and homogeneous hyperechoic pattern, respectively. 31.25% (15/48) females conceived with pulsatility index (PI) value 2.1-2.49; followed by 26.09% (6/23). Conclusion: Endometrial morphology, endometrial and subendometrial blood flow, and uterine artery PI is reliable indicator of IUI outcome. More perfusion indicates more chances of likelihood of intrauterine implantation. Color Doppler evaluation of uterine artery at the time of ovulation also showing low resistive index and high flow index or PI signifies favorable outcome. Endometrial thickness has not been significantly associated with pregnancy outcome.
Authors and Affiliations
Manisha Kumari, Kalpana Singh, Geetam Bharti, Vinod Kumar, P D Umakant, Sanjay Kr Suman
Keywords
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