International Journal of Infertility & Fetal Medicine

Register      Login

VOLUME 1 , ISSUE 1 ( September-December, 2010 ) > List of Articles

RESEARCH ARTICLE

Role of 3D and 3D Power Doppler to Assess Endometrial Receptivity in IUI Cycles

Chaitanya B Nagori

Citation Information : Nagori CB. Role of 3D and 3D Power Doppler to Assess Endometrial Receptivity in IUI Cycles. Int J Infertil Fetal Med 2010; 1 (1):19-24.

DOI: 10.5005/jp-journals-10016-1003

License: CC BY-NC 4.0

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

The assessment of the endometrial receptivity at the time of human chorionic gonadotrophin (hCG) is one of the key factors for success of all ART procedures.

Aim

To assess, if 3D and 3D power Doppler assessment of endometrial receptivity before giving hCG, helps improving pregnancy rates in superovulation with IUI cycles.

Settings and Design

A prospective randomized study of 2500 cycles of IUI was done over a period of twelve months for pre-hCG endometrial assessment.

Method

Endometrial assessment was done on Voluson 730 Expert, (Wipro GE) using transvaginal multifrequency volume probe 5 to 9 MHz. When follicles and endometrium were considered mature by 2D US and color Doppler, 3D and 3D power Doppler assessment of the endometrium was done before giving hCG. These values were evaluated for conception and nonconception groups.

Results

Conception rates were higher, when endometrial volume was between 3 and 7 cc. In our study, we have found endometrial FI > 20 and endometrial VFI > 40 as most optimum.

Conclusions

3D ultrasound is accurate for volume assessment of endometrium. 3D and 3D PD, when used with 2D US and color Doppler for pre-hCG endometrial assessment, it would definitely improve implantation rates in IUI cycles.


PDF Share
  1. Transvaginal three-dimensional ultrasound: Accuracy of follicular volume measurements. Fertil Steril 1996;65:371-76.
  2. The ‘steel’ or ‘teflon’ endometrium–ultrasound visualization of endometrial vascularity in IVF patients and outcome. Presented at the third World Congress of Ultrasound in Obstetrics and Gynecolgy. Ultrasound Obstet Gynecol 1993;3(Suppl 2):10.
  3. Transvaginal three-dimensional ultrasound reproducibility of ovarian and endometrial volume measurements. Fertil Steril 1996;66:718-22.
  4. Assessment of endometrial volume by three-dimensional ultrasound prior to embryo transfer: Clues to endometrial receptivity. Hum Reprod 1999;14:2851-54.
  5. Assessment of endometrial receptivity by transvaginal color Doppler and three dimensional power Doppler ultrasonography in patients undergoing in vitro fertilization procedures. J Ultrasound Med 2001;20:125-34.
  6. Transvaginal three-dimensional ultrasound: Accuracy of follicular volume measurements. Fertil Steril 1996;65:371-76.
  7. Luteal phase defect: Comparison between Doppler velocimetry, histological and hormonal markers. Ultrasound Obstet Gynecology 1997;9:105-12.
  8. Endometrial thickness, morphology, vascular penetration and velocimetry in predicting implantation in an in vitro fertilization program. Ultrasound Obstet Gynecol 1995;6:191-98.
  9. Assessment of uterine receptivity by endometrial-subendometrial blood flow distribution pattern in women undergoing IVF-ET. Fertil Steril 2002;78:245-51.
  10. The role of endometrial and subendometrial blood flows measured by three dimensional power Doppler ultrasound in prediction of pregnancy during IVF treatment. Hum Reprod. 2006;21(1):164-70.
  11. Relationship between uterine blood flow and endometrial and subendometrial blood flows during stimulated and natural cycles. Fertil Steril 2006;85(3):721-27.
  12. Detection of subendometrial vascularization flow index by three-dimensional ultrasound may be useful for predicting pregnancy rate for patients undergoing in vitro fertilizationembryo transfer. Fertil Steril 2003;79(3):507-11.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.