Reproducibility of Endometrial Volume by VOCAL in the Prediction of Success Rate of IVF/ICSI in Women with Unexplained Infertility
Journal Title: Journal of Gynecological Research and Obstetrics - Year 2016, Vol 2, Issue 1
Abstract
Objective: To explore the role of estimating endometrial volume by Virtual Organ Computer-aided AnaLysis (VOCAL) and it’s correlation with endometrial thickness, on the day of hCG, in prediction of IVF/ICSI success. Patients and Methods: It was a prospective study that was carried out at Al-Amin Maternity Hospital, Saudi Arabia. Endometrial thickness and volume were measured in women undergoing an IVF/ICSI cycle, on the day of HCG, using the 3D transvaginal ultrasound probe. Women were divided as regards to endometrial volume calculated into 3 subgroups; < 3ml, 3-5ml, and >5ml, also according to endometrial thickness into 3 groups; <7mm, 7-12mm and >12mm. Success rate of IVF/ICSI was compared between all groups. Results: The current study included 150 consented women with no significant difference in clinic-demographic characteristics between all subgroups. The pregnancy rates between the three groups of endometrial volume; <3ml, 3-5ml, and >5 ml was; 28.6%, 29.9% and 25% respectively. Pregnancy rates between the three groups of endometrial thickness was 18.2%, 25.5% and 43.3% for <7mm, 7-12and >12mm respectively. There was no significant difference in pregnancy rates between all groups in relation to both endometrial volume and endometrial thickness. Conclusions: Endometrial thickeness on day of hCG is a better predictor of success rate of IVF/ICSI cycles than endometrial volume.
Authors and Affiliations
Y El-Shahawy
Association of genetic polymorphisms in DNA repair genes in polycystic ovary syndrome
Introduction: Polycystic ovary syndrome (PCOS) involves expression of chronic anovulation and hyperandrogenism. Role of environmental and genetic factors in PCOS is strongly supported but the genes that are positively in...
Human zygote reconstruction by spindle, polar body or pronuclear transfer to treat repeated embryo fragmentation or embryo developmental arrest: the future is now
A common and very difficult issue to overcome as a clinical embryologist during an IVF cycle is the event of severe embryonic fragmentation or, more rarely, full developmental arrest. The current approach to bypass these...
Pseudomemberanous Colitis following Cesarean Delivery with Adjunctive Intracolonic Vancomycin
Background: Pseudomembranous colitis is a rarely reported condition in obstetrics. The clinical presentation varies from a self-limiting diarrhea to a severe pseudomembranous colitis with toxic megacolon and subsequent d...
Maternal Morbidities and Perinatal Outcomes of Delivery in Women with Preterm Prelabor Rupture of the Membranes (PPROM)
Objective: This study was done to evaluate the maternal morbidities and perinatal outcomes of delivery in women with preterm pre-labor rupture of the membranes who delivered before and after 34 week along a period of fiv...
Hysterotomy for Early Placenta Percreta at 10 Weeks Gestation: A Case Report
Placenta percreta in early pregnancy is rare and only few cases are documented. We report a case of placenta percreta at 10 weeks gestation. Sonography revealed absence of line of demarcation between trophoblast and myom...