THREE -DIMENSIONAL ULTRASOUND MONITORING THE UTERO-OVARIAN RESPONSES IN OF OVULATION INDUCTION IN POLYCYSTIC OVARY SYNDROME | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Article 9, Volume 11, Issue 1, January 2007, Pages 59-74 PDF (4.17 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2007.4956 | ||
| Authors | ||
| Magda EL Biely; Azza Abd EL Hamid | ||
| Department of Obstetrics & Gynecology and Department of Radiology, Suez Canal University, Ismailia, Egypt | ||
| Abstract | ||
| Objective: 3D ultrasound will be used to monitor the response of controlled ovarian stimulation and determination of uterine receptivity in patients of PCOS. Design : prospective study. Setting : Suez Canal University & Private clinics Materials and methods: This study was done for three successive menstrual cycles for each case, including 50 infertile patients with PCOS. The patients had received clomiphene citrate (CC); Follicular growth was monitored by repeated trans-vaginal ultrasound. When lead follicle of >I8 mm in mean diameter was detected , at this stage 1) Bndomclrinl thickness was measured 2) Determine the presence or absence of three-line appearance of the endomeirium. 3) Presence of myomeiiial contractions 4) Myomeiiial cchogeiiicity 5) Presence of cumulus oophorus 6) Presence of ccholiicenl space in the endocervical canal. Then, 10000 u of hCG were given intramuscularly to induce ovulalion . Results : In three cycles respectively, pregnancy rate in patients showing triple appearance of the endomeirium ai ihc time of hCG administration was 70.6, 71.4, 91.7%, showing homogenous myomelrium 73.3. 91.7, 76.9%. showing myomelrial contraciions 80.0, 84.6, 76.9%, showing Hie cumulus oophorus 76.5, 73.3, 90.9%, and showing ccholiicenl space in the endocervical canal was 92.9. 73.3, 76.9%. Conclusion: Folliculomelry with 3D ultrasound offers good monitoring and helps in improving cycle fecundity. With 3D folliculomelry. ii might be possible to lime the administration of hCG to coincide wilh optimal follicle maturity loi the release of the highest quality oocytes and optimal uterine receptivity. | ||
| Keywords | ||
| Triple appearance; cumulus oophorus; homogenous myomelrium; myomeiiial contractions | ||
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