THREE -DIMENSIONAL ULTRASOUND MONITORING THE UTERO-OVARIAN RESPONSES IN OF OVULATION INDUCTION IN POLYCYSTIC OVARY SYNDROME

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.