Prediction of pregnancy in artificial reproductive techniques through evaluation of thickness, morphology and vascularity of endometrium

Aditya Prakash Misra; Ritu Mishra

doi:10.18203/2320-1770.ijrcog20171402

Authors

Aditya Prakash Misra Department of Radiodiagnosis, Rama Medical College, Hospital and Research Center, Mandhana, Kanpur, Uttar Pradesh, India
Ritu Mishra Department of Obstetrics and Gynecology, Rama Medical College, Hospital and Research Center, Mandhana, Kanpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171402

Keywords:

Artificial reproductive techniques, Endometrial vascularity, Pregnancy

Abstract

Background: Prediction of pregnancy in Artificial Reproductive Techniques through evaluation of thickness, morphology and vascularity of endometrium.

Methods: Endometrial thickness, morphology and sub endometrial blood flow were assessed using trans-vaginal ultrasound on the day of HCG in 200 undergoing IVF/ICSI treatment in the period between October 2009 and December 2014. Statistical analysis was done.

Results: There was no difference in the demographic features between pregnant and non-pregnant women. Overall, 80 patients conceived; 46 (57.5%) of them had blood flow in zone III and 30 (37.5%) in zone II. All patients achieved pregnancy had endometrial thickness >8 mm. There was no significant difference in Doppler indices between pregnant and non-pregnant women.

Conclusions: When the endometrial thickness is <8 mm, and if there are non-triple endometrial line, pregnancy rate decreases and the absence of colour mapping of the endometrium and subendometrial areas means and absolute implantation failure or a significant decrease of the implantation rate. Conversely, the pregnancy rate increases when the vessels reach endometrium.

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