Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level?
Background: Serum progesterone is the main hormone of the luteal phase. The hyperechoic pattern of the endometrium in the luteal phase is believed to be induced by raised serum progesterone. Serum progesterone is found to be raised cases of controlled ovarian stimulation (COS) cycle on the day of ov...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Human Reproductive Sciences |
| Subjects: | |
| Online Access: | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2018;volume=11;issue=1;spage=29;epage=33;aulast=Pandurangi |
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| author | Monna Pandurangi N Sanjeeva Reddy G Usha Rani Hepzibha Kirubamani |
| author_facet | Monna Pandurangi N Sanjeeva Reddy G Usha Rani Hepzibha Kirubamani |
| author_sort | Monna Pandurangi |
| collection | DOAJ |
| description | Background: Serum progesterone is the main hormone of the luteal phase. The hyperechoic pattern of the endometrium in the luteal phase is believed to be induced by raised serum progesterone. Serum progesterone is found to be raised cases of controlled ovarian stimulation (COS) cycle on the day of ovulation trigger. Aim: This study aims to find the association between echogenicity of endometrium and raised serum progesterone Objective: The objective of this study is to determine whether raised pretrigger serum progesterone influences the echogenicity of the endometrium Materials and Methods: In this prospective observational study, we evaluated 221 patients who underwent COS. Echogenic patterns of the endometrium on transvaginal sonography were described as hypoechoic/trilaminar endometrium (Type A), isoechoic (Type B), and hyperechoic (Type C). The endometrial pattern and serum progesterone levels were evaluated on the day of ovulation trigger and value of ≥1 ng/ml was considered as elevated. Results: A total of 168 patients out of 221 patients (76.01%) had elevated serum progesterone levels on the day of ovulation trigger. Type A endometrium was found in a total of 174 patients, of these 132 patients (75.86%) had raised serum progesterone. Type B endometrium was found in 35 patients, of these 27 patients (77.14%) had raised serum progesterone. Type C endometrium was seen in 12 patients, out of these 9 patients (75.00%) had raised serum progesterone level. There was no statistically significant difference in the echogenic patterns of endometrium in patients with raised progesterone (≥1 ng/ml). On intergroup comparison, the difference in the progesterone levels between type A and type C was statistically significant (P = 0.02), and on receiver operating characteristic curve analysis, echogenic endometrium was found to predict progesterone level of 1.57 ng/ml with a sensitivity of 58.3% and specificity of 58.4% only. Conclusion: Echogenicity of the endometrium does not reliably predict raised serum progesterone on the day of ovulation trigger. |
| first_indexed | 2024-12-23T04:46:01Z |
| format | Article |
| id | doaj.art-824dd5a02abc420585c1153891324975 |
| institution | Directory Open Access Journal |
| issn | 0974-1208 1998-4766 |
| language | English |
| last_indexed | 2024-12-23T04:46:01Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj.art-824dd5a02abc420585c11538913249752022-12-21T17:59:37ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662018-01-01111293310.4103/jhrs.JHRS_104_17Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level?Monna PandurangiN Sanjeeva ReddyG Usha RaniHepzibha KirubamaniBackground: Serum progesterone is the main hormone of the luteal phase. The hyperechoic pattern of the endometrium in the luteal phase is believed to be induced by raised serum progesterone. Serum progesterone is found to be raised cases of controlled ovarian stimulation (COS) cycle on the day of ovulation trigger. Aim: This study aims to find the association between echogenicity of endometrium and raised serum progesterone Objective: The objective of this study is to determine whether raised pretrigger serum progesterone influences the echogenicity of the endometrium Materials and Methods: In this prospective observational study, we evaluated 221 patients who underwent COS. Echogenic patterns of the endometrium on transvaginal sonography were described as hypoechoic/trilaminar endometrium (Type A), isoechoic (Type B), and hyperechoic (Type C). The endometrial pattern and serum progesterone levels were evaluated on the day of ovulation trigger and value of ≥1 ng/ml was considered as elevated. Results: A total of 168 patients out of 221 patients (76.01%) had elevated serum progesterone levels on the day of ovulation trigger. Type A endometrium was found in a total of 174 patients, of these 132 patients (75.86%) had raised serum progesterone. Type B endometrium was found in 35 patients, of these 27 patients (77.14%) had raised serum progesterone. Type C endometrium was seen in 12 patients, out of these 9 patients (75.00%) had raised serum progesterone level. There was no statistically significant difference in the echogenic patterns of endometrium in patients with raised progesterone (≥1 ng/ml). On intergroup comparison, the difference in the progesterone levels between type A and type C was statistically significant (P = 0.02), and on receiver operating characteristic curve analysis, echogenic endometrium was found to predict progesterone level of 1.57 ng/ml with a sensitivity of 58.3% and specificity of 58.4% only. Conclusion: Echogenicity of the endometrium does not reliably predict raised serum progesterone on the day of ovulation trigger.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2018;volume=11;issue=1;spage=29;epage=33;aulast=PandurangiAssisted reproductive technologyechogenicityendometriumin vitro fertilizationprogesteronetransvaginal sonography |
| spellingShingle | Monna Pandurangi N Sanjeeva Reddy G Usha Rani Hepzibha Kirubamani Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level? Journal of Human Reproductive Sciences Assisted reproductive technology echogenicity endometrium in vitro fertilization progesterone transvaginal sonography |
| title | Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level? |
| title_full | Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level? |
| title_fullStr | Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level? |
| title_full_unstemmed | Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level? |
| title_short | Does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level? |
| title_sort | does pretrigger echogenic endometrium in assisted reproductive technology cycles reflect raised serum progesterone level |
| topic | Assisted reproductive technology echogenicity endometrium in vitro fertilization progesterone transvaginal sonography |
| url | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2018;volume=11;issue=1;spage=29;epage=33;aulast=Pandurangi |
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