ULTRASONOGRAPHIC APPEARANCE OF THE ENDOMETRIUM IN NATURAL AND STIMULATED INVITRO FERTILIZATION CYCLES AND ITS CORRELATION WITH OUTCOME

被引:59
作者
UENO, J [1 ]
OEHNINGER, S [1 ]
BRZYSKI, RG [1 ]
ACOSTA, AA [1 ]
PHILPUT, CB [1 ]
MUASHER, SJ [1 ]
机构
[1] EASTERN VIRGINIA MED SCH,HOWARD & GEORGEANNA JONES INST REPROD MED,DEPT OBSTET & GYNECOL,NORFOLK,VA 23507
关键词
ULTRASONOGRAPHY; ENDOMETRIAL THICKNESS; ENDOMETRIAL PATTERN;
D O I
10.1093/oxfordjournals.humrep.a137455
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Ultrasonographic evaluation of the endometrium in 56 IVF patients was performed prospectively. Endometrial thickness and pattern were analysed in 18 natural-cycle and 38 stimulated-cycle patients. Thickness was measured from the echogenic interface of the endometrium-myometrium junction on a transverse section at the level of the fundus. Patterns were classified as A (homogeneous, hyperechogenic), B (mixed, with an outer hyperechogenic and inner hypo-echogenic layer) or C (fluid-filled cavum with ring configuration). The thickness and pattern distributions were similar in natural- and stimulated-cycle patients. There was no correlation between thickness and serum oestradiol levels, the diameter of the largest follicle or the pregnancy outcome in either group. However, the occurrence of endometrial pattern A on the day prior to oocyte retrieval had a predictive value of 100% for a non-conceptional cycle. In contrast, pattern B occurred in a significantly greater proportion of pregnant than non-pregnant patients.
引用
收藏
页码:901 / 904
页数:4
相关论文
共 18 条
[1]  
Droesch K., Muasher S.J., Kreiner D., Jones G.S., Acosta A.A., Rosenwaks Z., Timing of oocyte retrieval in cycles with a spontaneous luteinizing hormone surge in a large in vitro fertilization program, Fertil. Steril, 50, pp. 451-456, (1988)
[2]  
Droesch K., Muasher S.J., Brzyski R.G., Jones G.S., Simonetti S., Lui H.C., Rosenwaks Z., Value of suppression with a gonadotropin-releasing hormone agonist prior to gonadotropin stimulation for in vitro fertilization, Fertil. Steril, 51, pp. 292-295, (1989)
[3]  
Fleischer A.C., Herbert C.M., Sacks G.A., Wentz A.C., Entman S.S., James A.E., Sonography of the endometrium during conception and non-conception cycles of in vitro fertilization and embryo transfer, Fertil. Steril, 46, pp. 442-447, (1986)
[4]  
Foulot H., Ranoux C., Dubuisson J.B., Rambaud D., Aubriot F.X., Poirot C., In vitro fertilization without ovarian stimulation: A simplified protocol applied in 80 cycles, Fertil. Steril, 52, pp. 617-621, (1989)
[5]  
Garcia J., Return of the natural cycle for in vitro fertilization (Alleluia, Alleluia), J. in Vitro Fertil. Embryo Transfer, 6, pp. 67-68, (1989)
[6]  
Giorlandino C., Gleicher N., Nanni C., Vizzone A., Gentili P., Taramanni C., The sonographic picture of endometrium in spontaneous and induced cycles, Fertil. Steril, 47, pp. 508-511, (1987)
[7]  
Glissant A., Mouzon J., Frydman R., Ultrasound study of the endometrium during in vitro fertilization cycles, Fertil. Steril, 44, pp. 786-790, (1985)
[8]  
Gonen Y., Casper R., Jacobson W., Blanker J., Endometrial thickness and growth during ovarian stimulation: A possible predictor of implantation for in vitro fertilization, Fertil. Steril, 52, pp. 446-450, (1989)
[9]  
Grunfeld L., Walker B., Williams M.A., Hofmann G.E., Navot D., High resolution endovaginal ultrasound of the endometrium, a non-invasive test for endometrial adequacy, Society for Gynecologic Investigation, 441, (1990)
[10]  
Hassiakos D., Toner J.P., Muasher S.J., Jones H.W., Implantation and pregnancy rates in relation to oestradiol and progesterone profiles in cycles with and without the use of gonadotropinreleasing hormone agonist suppression, Hum. Reprod, 5, pp. 1004-1008, (1990)