MIDLUTEAL COLOUR DOPPLER ULTRASONOGRAPHIC ASSESSMENT OF UTERINE BLOOD FLOW IN UNEXPLAINED INFERTILITY AND RECURRENT MISCARRIAGE

Document Type : Original Article

Authors

Department of Obstetrics & Gynaecology, Faculty of Medicine, Alexandria University.

Abstract

Objective: To evaluate the difference in uterine artery impedance to hlood now among women with unexplained
infertility and recurrent pregnancy loss in the midlutcal phase or spontaneous cycles.
Design: Prospective study.
Setting: Department of Obstetrics and Gynaecology, Shatby University Hospital, Alexandria.
Subjects: Thirty women with unexplained infertility (group A), twenty women with a history of recurrent pregnancy
loss (group B) and twenty fertile controls (group C).
Interventions: Midluteal sonographic evaluation of uterine artery impedance to hlood now and endometrial thickness.
Main outcome measures: The mean right and left uterine artery pulsatility index (PI values).
Results: PI values did not differ significantly in unexplained infertility (1.83 ± 0.55) and recurrent pregnancy loss (1.73
± 0.49) compared to controls (1.84 ± 0.48). However, endometrial thickness was significantly decreased in
unexplained infertility (9.17 ± 1.93 mm) and recurrent pregnancy loss (9.1 ± 2.13 mrn) compared to controls (12.6 ±
2.22 mm). There was no significant correlation between PI values and endometrial thickness in all the studied groups
(p > 0.05). However there was a significant positive correlation between PI values and age (r = 0.4666, p = 0.001).
Conclusion: Evaluation of uterine impedance hy pulsed Doppler ultrasound in patients with unexplained infertility and
recurrent miscarriage is considered an investigational technique without sufficient proven clinical benefits.

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