The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles
Objective: The aim of this study was to assess the predictive value of endometrial thickness, morphology and vasculature using two-dimensional (2D) Doppler ultrasound on the IVF/ICSI cycle outcome. Subjects and methods: Endometrial thickness, morphology and subendometrial blood flow were assessed us...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2016-03-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X15001953 |
| _version_ | 1818281188246159360 |
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| author | Moustafa Abdel Kader Ayman Abdelmeged Ahmad Mahran Manal F. Abu Samra Haitham Bahaa |
| author_facet | Moustafa Abdel Kader Ayman Abdelmeged Ahmad Mahran Manal F. Abu Samra Haitham Bahaa |
| author_sort | Moustafa Abdel Kader |
| collection | DOAJ |
| description | Objective: The aim of this study was to assess the predictive value of endometrial thickness, morphology and vasculature using two-dimensional (2D) Doppler ultrasound on the IVF/ICSI cycle outcome.
Subjects and methods: Endometrial thickness, morphology and subendometrial blood flow were assessed using transvaginal ultrasound on the day of hCG in 100 patients undergoing IVF/ICSI treatment in the period between June 2013 and January 2015. Statistical analysis was done.
Results: There was no difference in the demographic features or details of ovarian stimulation between pregnant and non-pregnant women. Overall, 40 patients conceived; 23 (57.5%) of them had blood flow in zone III and 15 (37.5%) in zone II. All patients achieved pregnancy had endometrial thickness >8 mm. Using the ROC curve, the cutoff endometrial thickness for non-achieving pregnancy was 7 mm with a sensitivity and specificity of 100%. There was no significant difference in Doppler indices between pregnant and non-pregnant women.
Conclusion: When the endometrial thickness is <8 mm, and if there are non-triple endometrial line and non-favorable blood flow zone on day of hCG in IVF/ICSI cycles, pregnancy is unlikely and embryo transfer should be canceled with freezing of all embryos for future transfer to increase the success rate. |
| first_indexed | 2024-12-13T00:01:09Z |
| format | Article |
| id | doaj.art-51dfc423e2cf47fdaef2d93e3f31d8f9 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-13T00:01:09Z |
| publishDate | 2016-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-51dfc423e2cf47fdaef2d93e3f31d8f92022-12-22T00:06:25ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2016-03-0147134134610.1016/j.ejrnm.2015.08.014The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cyclesMoustafa Abdel Kader0Ayman Abdelmeged1Ahmad Mahran2Manal F. Abu Samra3Haitham Bahaa4Radiodiagnosis Department, Faculty of Medicine, El-Minia University, EgyptObstetrics and Gynaecology Department, Faculty of Medicine, El-Minia University, EgyptObstetrics and Gynaecology Department, Faculty of Medicine, El-Minia University, EgyptRadiodiagnosis Department, Faculty of Medicine, El-Minia University, EgyptObstetrics and Gynaecology Department, Faculty of Medicine, El-Minia University, EgyptObjective: The aim of this study was to assess the predictive value of endometrial thickness, morphology and vasculature using two-dimensional (2D) Doppler ultrasound on the IVF/ICSI cycle outcome. Subjects and methods: Endometrial thickness, morphology and subendometrial blood flow were assessed using transvaginal ultrasound on the day of hCG in 100 patients undergoing IVF/ICSI treatment in the period between June 2013 and January 2015. Statistical analysis was done. Results: There was no difference in the demographic features or details of ovarian stimulation between pregnant and non-pregnant women. Overall, 40 patients conceived; 23 (57.5%) of them had blood flow in zone III and 15 (37.5%) in zone II. All patients achieved pregnancy had endometrial thickness >8 mm. Using the ROC curve, the cutoff endometrial thickness for non-achieving pregnancy was 7 mm with a sensitivity and specificity of 100%. There was no significant difference in Doppler indices between pregnant and non-pregnant women. Conclusion: When the endometrial thickness is <8 mm, and if there are non-triple endometrial line and non-favorable blood flow zone on day of hCG in IVF/ICSI cycles, pregnancy is unlikely and embryo transfer should be canceled with freezing of all embryos for future transfer to increase the success rate.http://www.sciencedirect.com/science/article/pii/S0378603X15001953DopplerEndometrial thicknessMorphologyVasculatureIVF/ICSI |
| spellingShingle | Moustafa Abdel Kader Ayman Abdelmeged Ahmad Mahran Manal F. Abu Samra Haitham Bahaa The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles The Egyptian Journal of Radiology and Nuclear Medicine Doppler Endometrial thickness Morphology Vasculature IVF/ICSI |
| title | The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles |
| title_full | The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles |
| title_fullStr | The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles |
| title_full_unstemmed | The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles |
| title_short | The usefulness of endometrial thickness, morphology and vasculature by 2D Doppler ultrasound in prediction of pregnancy in IVF/ICSI cycles |
| title_sort | usefulness of endometrial thickness morphology and vasculature by 2d doppler ultrasound in prediction of pregnancy in ivf icsi cycles |
| topic | Doppler Endometrial thickness Morphology Vasculature IVF/ICSI |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X15001953 |
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