Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility

BACKGROUND AND OBJECTIVE: Infertility involves pregnancy failure without using preventive measures for a year post intercourse. Transvaginal color Doppler ultrasonography (TCDU) is a method used for infertility diagnosis. Unexplained infertility diagnosed when all standard evaluations of infertility...

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Autores principales: R Mohammadzadeh, L Farzady, F Ghatreh Samani, A Ghasemzadeh, AM Alizadeh
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Publicado: Babol University of Medical Sciences 2009
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spelling oai:doaj.org-article:df78619adba64364adfad19e6b98ef5e2021-11-10T09:03:07ZAssessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility1561-41072251-7170https://doaj.org/article/df78619adba64364adfad19e6b98ef5e2009-12-01T00:00:00Zhttp://jbums.org/article-1-3362-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Infertility involves pregnancy failure without using preventive measures for a year post intercourse. Transvaginal color Doppler ultrasonography (TCDU) is a method used for infertility diagnosis. Unexplained infertility diagnosed when all standard evaluations of infertility become normal. The uterine arteries hemodynamic indexes (UAHI) as a useful mean for pregnancy evaluation will be changed pre and post gestation. The aim of the present study was to determine UAHI changes in unexplained infertility via TCDU.METHODS: This prospective cohort study was done 50 women with unexplained infertility in Al Zahra hospital, Tabriz in September of 2005. The transvaginal color Doppler ultrasonography performed on patients in the 2nd day of menstruation and post intrauterine insemination. Human chorionic gonadotrophin (HCG) (5000-10000 IU) was intramuscularly injected post dominant follicle observation (17-18 mm diameter). Intra uterine insemination was then performed 24-48 h later. Then, hemodynamic indexes including uterine arteries, endometrial thickness and echogenicity were measured by sonography and compared in pregnant and non pregnant groups.FINDINGS: No significant difference found between mean right and left uterine arteries hemodynamic indexes on 2nd day of menstruation and HCG injection day in non-pregnant and pregnant groups. Mean pulsatility index was raised with the increase of endometrial thickness in non-pregnant and decreased with the increase of endometrial thickness in pregnant women.CONCLUSION: The present study showed that uterine arteries hemodynamic index changes may not be a reliable method to evaluate pregnancy in women with unexplained infertility.R Mohammadzadeh,L FarzadyF Ghatreh Samani,A GhasemzadehAM AlizadehBabol University of Medical Sciencesarticleunexplained infertilitycolor doppler ultrasonographyuterine arteriesMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 11, Iss 5, Pp 52-58 (2009)
institution DOAJ
collection DOAJ
language EN
FA
topic unexplained infertility
color doppler ultrasonography
uterine arteries
Medicine
R
Medicine (General)
R5-920
spellingShingle unexplained infertility
color doppler ultrasonography
uterine arteries
Medicine
R
Medicine (General)
R5-920
R Mohammadzadeh,
L Farzady
F Ghatreh Samani,
A Ghasemzadeh
AM Alizadeh
Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility
description BACKGROUND AND OBJECTIVE: Infertility involves pregnancy failure without using preventive measures for a year post intercourse. Transvaginal color Doppler ultrasonography (TCDU) is a method used for infertility diagnosis. Unexplained infertility diagnosed when all standard evaluations of infertility become normal. The uterine arteries hemodynamic indexes (UAHI) as a useful mean for pregnancy evaluation will be changed pre and post gestation. The aim of the present study was to determine UAHI changes in unexplained infertility via TCDU.METHODS: This prospective cohort study was done 50 women with unexplained infertility in Al Zahra hospital, Tabriz in September of 2005. The transvaginal color Doppler ultrasonography performed on patients in the 2nd day of menstruation and post intrauterine insemination. Human chorionic gonadotrophin (HCG) (5000-10000 IU) was intramuscularly injected post dominant follicle observation (17-18 mm diameter). Intra uterine insemination was then performed 24-48 h later. Then, hemodynamic indexes including uterine arteries, endometrial thickness and echogenicity were measured by sonography and compared in pregnant and non pregnant groups.FINDINGS: No significant difference found between mean right and left uterine arteries hemodynamic indexes on 2nd day of menstruation and HCG injection day in non-pregnant and pregnant groups. Mean pulsatility index was raised with the increase of endometrial thickness in non-pregnant and decreased with the increase of endometrial thickness in pregnant women.CONCLUSION: The present study showed that uterine arteries hemodynamic index changes may not be a reliable method to evaluate pregnancy in women with unexplained infertility.
format article
author R Mohammadzadeh,
L Farzady
F Ghatreh Samani,
A Ghasemzadeh
AM Alizadeh
author_facet R Mohammadzadeh,
L Farzady
F Ghatreh Samani,
A Ghasemzadeh
AM Alizadeh
author_sort R Mohammadzadeh,
title Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility
title_short Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility
title_full Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility
title_fullStr Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility
title_full_unstemmed Assessment of Uterine Arteries Hemodynamic Indexes Changes in Women with Unexplained Infertility
title_sort assessment of uterine arteries hemodynamic indexes changes in women with unexplained infertility
publisher Babol University of Medical Sciences
publishDate 2009
url https://doaj.org/article/df78619adba64364adfad19e6b98ef5e
work_keys_str_mv AT rmohammadzadeh assessmentofuterinearterieshemodynamicindexeschangesinwomenwithunexplainedinfertility
AT lfarzady assessmentofuterinearterieshemodynamicindexeschangesinwomenwithunexplainedinfertility
AT fghatrehsamani assessmentofuterinearterieshemodynamicindexeschangesinwomenwithunexplainedinfertility
AT aghasemzadeh assessmentofuterinearterieshemodynamicindexeschangesinwomenwithunexplainedinfertility
AT amalizadeh assessmentofuterinearterieshemodynamicindexeschangesinwomenwithunexplainedinfertility
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