Document Detail


Prospective evaluation of early follicular ovarian stromal blood flow in infertile women undergoing IVF-ET treatment.
MedLine Citation:
PMID:  22456029     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: To evaluate the role of early follicular stromal flow studies in predicting ovarian response during IVF-ET treatment and to assess their correlation with ovarian reserve parameters and clinical pregnancy achievement. Materials & Methods: One hundred and sixty-eight consecutive and unselected infertile women undergoing their first IVF-ET treatment were included in the study. Basal ovarian reserve and stromal Doppler flow studies were performed in a natural cycle before starting treatment. Four Doppler indices were measured; peak systolic velocity (PSV), pulsatility index (PI), resistance index (RI) and systole/diastole ratio (S/D). Following completion of IVF-ET treatment Pearson's correlation analysis was performed to examine the correlation between Doppler indices, ovarian response, basal ovarian reserve parameters and clinical pregnancy achievement. Results: A positive correlation was found between the number of ≥14 mm follicles on hCG day and PSV. The number of ≥14 mm follicles and retrieved oocytes had a significant negative correlation with RI and S/D ratio. As well, the number of fertilized oocytes had a significant negative correlation with S/D ratio. Absence of a Doppler signal in one or both ovaries was significantly higher in the women with poor response (31%) as compared to women with normal response (16%). In addition, RI correlated positively with basal FSH as well as FSH/LH ratio and negatively with AFC. The S/D ratio had a negative correlation with AFC (p = 0.027). A significant positive correlation between PSV, total ovarian volume (p = 0.011) and mean ovarian volume (p = 0.019) was detected. However, no correlation between all four Doppler indices and age was detected. Moreover, Doppler indices did not differ significantly between conception and non-conception cycles following IVF-ET treatment. Conclusions: Early follicular stromal Doppler signals is correlated with ovarian response as well as basal ovarian reserve parameters, but have no correlation with age neither with clinical pregnancy achievement in infertile women undergoing IVF-ET treatment.
Authors:
Jimmy E Jadaon; Moshe Ben-Ami; Sami Haddad; Orit Radin; Shalom Bar-Ami; Johnny S Younis
Related Documents :
8689769 - Photosensitivity induced by fleroxacin.
12078969 - Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally r...
24384029 - Sex ratios provide evidence for monozygotic twinning in the ring-tailed lemur, lemur ca...
10530609 - Pregnancy recency and risk of ovarian cancer.
24592059 - Recurrent familial hydatidiform mole - a rare clinical problem.
7593519 - Laparoscopic unwinding of hyperstimulated ischaemic ovaries during the second trimester...
20687269 - The effect of endometrial thickness on in vitro fertilization (ivf)-embryo transfer/int...
10920109 - Analysis of mid-trimester corticotrophin-releasing hormone and alpha-fetoprotein concen...
7333929 - Pregnancy and pregnancy outcome in ankara (gecekondu) adolescents.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-29
Journal Detail:
Title:  Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology     Volume:  -     ISSN:  1473-0766     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807913     Medline TA:  Gynecol Endocrinol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Reproductive Medicine Unit, Department of Obstetrics and Gynecology , Poriya Medical Center , Tiberias.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Evaluation of tumor extent in breast cancer patients using real-time MR navigated ultrasound: Prelim...
Next Document:  Gorham-Stout Disease and Cerebrospinal Fluid Otorrhea.