Ovarian Volume an Indicator of Ovarian Response following Ovulation Induction
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2017, Vol 5, Issue 3
Abstract
Background: Technological improvements in ultrasound machines and the use of high frequency vaginal probes allow investigators much closer access to the ovaries. The transvaginal ultrasound determinations of either the number of follicles of 2–5 mm diameter or the ovarian volume have been reported to define ovarian reserve and predict reproductive outcomes. Ovarian volume also predicts the occurrence of clinical pregnancy after IVF treatment. Aim: To assess ovarian volume as a predictor for ovarian response following ovulation induction and to correlate ovarian volume with FSH levels and other ultrasonographic parameters used to assess ovarian response. Methodology: A total of fifty infertile women with a history of primary or secondary infertility were included for study. The patients were asked to come on their 3rd day of menstruation, during which a thorough history, systemic examination and blood and radiological investigation were done. Ovulation was then induced using clomiphene citrate 50 mg/day from day 3 to day 7 of the cycle. To assess the post induction ovarian response patients were requested to come on day 12 for assessing the ovarian response through transvaginal ultrasound. Results: In the present study 60% of patients were within 30yrs of age. 58% of the patients had total ovarian volume <8.6cm3. The total ovarian volume showed a negative correlation with the age. There was a positive correlation between number of follicles, size of follicles and total ovarian volume. Endometrial thickness had a weakly positive correlation with total ovarian volume. Basal FSH had no correlation with the ovarian response to ovulation induction. Conclusion: Ovarian volume can be determined before initiation of down-regulation and provides the clinician with a measurement of ovarian reserve that is determined readily, inexpensively, and with minimal invasiveness. Ovarian volume measurement should be an integral part of infertility evaluation.
Authors and Affiliations
Charulatha Baskaran
Study of Maternal Mortality at a Rural Medical College: A Seven Year Study
Background: The current maternal mortality ratio in India is 212 100000 live births. India is behind the target of 103 deaths per live births to be achieved by 2015 under the united nations mandated millennium developmen...
Clinical Study on Diagnostic Accuracy of RMI
Objective: To compare the diagnostic accuracy of Risk of malignancy Index (RMI) with final histopathological diagnosis and to find out the role of RMI in preoperative evaluation of ovarian mass. Materials and Methods: Pr...
Low Dose Oral Contraceptives
Combined oral contraceptives (COCs) offer a convenient, safe, effective, and reversible method of contraception. While being highly effective, the early COC formulations were associated with significant adverse effects...
A Retrospective Study of Ectopic Pregnancies Presenting in a Tertiary Care Centre in Saurashtra
Aims: Aim of this study is to determine the incidence, clinical features, associated risk factors, treatment undertaken along with, morbidity and mortality associated with ectopic pregnancy. Methods: This retrospective s...
Assessment of Risk Factors for Surgical Site Infection in Obstetric Patients and Its Impact on Postoperative Recovery
Objective: To evaluate the preoperative and intraoperative risk factors associated with surgical site infection amongst obstetric patients and its impact on postoperative recovery. Methods: Aprospective, observational s...