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19555

Uses of Ultrasound and Doppler in Assessment of Endometrial Receptivity in Patients of Unexplained Infertility

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Last updated: 24 Dec 2024

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Abstract

Background:although the majority of infertile couples was found to have an identifiable male or female factor, 15–30% was categorized as having ‘‘unexplained infertility''. The endometrium is considered to be a key determinant in successful implantation. Endometrial receptivity is regulated by many factors including endometrial perfusion. Aim of the Work: this study aimedto detect the role of the two dimensional ultrasound and Doppler ultrasonographic uterine markers of implantation in patients of unexplained infertility compared to fertile participants. Patients and Methods: the study was performed on 50 patients presented to the outpatient clinic in Al-Hussein, Bab El-Shearia (Sayed Galal) Hospitals, Al-Azhar University from October 2017 to August 2018 and they were categorized into two groups: Group A (Patients group): it was included 30 participants presented with unexplained infertility. Group B) (Control group) who included 20 fertile women coming for contraception. Results: there was a significant statistical difference as regard the endometrial thickness between cases and controls, and the controls had a thicker endometrium. Lower pulsatility index (PI) in uterine artery in the controls compared to the infertile group. Increased sub endometrial vascularization in the controls compared to the infertile group. Conclusion:ultrasound as well as Doppler studies of the endometrial and subendometrial vascularization had a role in predicting endometrial receptivity. Uterine artery Doppler study and the endometrial thickness measurement had a role in detection of uterine receptivity.

DOI

10.21608/ejhm.2018.19555

Keywords

Endometrial receptivity, Unexplained infertility, Ultrasound, Doppler

Authors

First Name

Emad Abd El-Rahman

Last Name

El-Tamamy

MiddleName

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Affiliation

Obstetrics and Gynecology Department, Faculty of Medicine, Al Azhar University

Email

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Orcid

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First Name

Mofeed Fawzy

Last Name

Mohamed

MiddleName

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Affiliation

Obstetrics and Gynecology Department, Faculty of Medicine, Al Azhar University

Email

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City

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Orcid

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First Name

Badawy Ezzat

Last Name

Hamza

MiddleName

-

Affiliation

Obstetrics and Gynecology Department, Faculty of Medicine, Al Azhar University

Email

bodyatef07.ba@gmail.com

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Orcid

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Volume

73

Article Issue

9

Related Issue

3870

Issue Date

2018-10-01

Receive Date

2018-11-19

Publish Date

2018-10-01

Page Start

7,542

Page End

7,550

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_19555.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=19555

Order

20

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Uses of Ultrasound and Doppler in Assessment of Endometrial Receptivity in Patients of Unexplained Infertility

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Article

Created At

22 Jan 2023