| Effects of physiotherapeutic TENS in a woman with unexplained infertility. | |
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MedLine Citation:
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PMID: 20690870 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Unexplained infertility (UI) is a difficult diagnosis in the field of obstetrics and gynaecology. This report describes TENS treatment as an adjunct therapy for a 30-year-old woman with long-standing UI who was scheduled to undergo ovarian stimulation for in vitro fertilization (IVF) and embryo transfer. She had three unsuccessful intrauterine insemination treatments. Her last IVF treatment also failed. The treatment consisted of burst-TENS for seven sessions, which was applied daily from the second day of induction of ovulation (IO) to hCG administration. The transvaginal ultrasonography with pulsed Doppler curves was performed to measure the uterine artery impedance indices of Pulsatility Index (PI) and Resistance Index (RI). Before TENS application, on the first day of IO, the PI and RI for right side uterine artery were 3.96 and 0.96, respectively. For left uterine artery, the PI and RI were 6.92 and 1, respectively. After treatment with TENS, on the day of hCG administration, the PI and RI for right side uterine artery were 3.39 and 0.90, respectively. On the left side, they were PI=2.62 and RI=0.86. IVF was performed and on the day of oocytes collection, 22 oocytes were collected and inseminated. Fertilization was confirmed 16 hours after insemination by visualization of 2 pronuclei. A singleton pregnancy was achieved by the presence of a fetal sac during an ultrasound examination. It is concluded that the addition of TENS resulted in remarkable reduction of uterine artery PI and RI and a successful pregnancy after IVF for this woman with UI. |
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Authors:
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Nasser Salsabili; Noureddin Nakhostin Ansari; Katayoon Berjis; Asefeh Sedighi; Hoda Salsabili |
Publication Detail:
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Type: Journal Article Date: 2010-08-08 |
Journal Detail:
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Title: Physiotherapy theory and practice Volume: 27 ISSN: 1532-5040 ISO Abbreviation: Physiother Theory Pract Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-03-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9015520 Medline TA: Physiother Theory Pract Country: England |
Other Details:
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Languages: eng Pagination: 155-9 Citation Subset: IM |
Affiliation:
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Associate Professor, Faculty of Rehabilitation, Tehran University of Medical Sciences, Iran. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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