Publication:

Prediction of pregnancy in artificial reproductive techniques through evaluation of thickness, morphology and vascularity of endometrium

Background Prediction of pregnancy in Artificial Reproductive Techniques through evaluation of thickness, morphology and vascularity of endometrium.

Methods Endometrial thickness, morphology and sub endometrial blood flow were assessed using trans-vaginal ultrasound on the day of HCG in 200 undergoing IVF/ICSI treatment in the period between October 2009 and December 2014. Statistical analysis was done.

Results There was no difference in the demographic features between pregnant and non-pregnant women. Overall, 80 patients conceived; 46 (57.5%) of them had blood flow in zone III and 30 (37.5%) in zone II. All patients achieved pregnancy had endometrial thickness >8 mm. There was no significant difference in Doppler indices between pregnant and non-pregnant women.

Conclusions When the endometrial thickness is <8 mm, and if there are non-triple endometrial line, pregnancy rate decreases and the absence of colour mapping of the endometrium and subendometrial areas means and absolute implantation failure or a significant decrease of the implantation rate. Conversely, the pregnancy rate increases when the vessels reach endometrium.