To compare the accuracy of three-dimensional (3-D) versus two-dimensional (2-D) ultrasonography (U/S) in the measurement of follicular volume and identification of cumulus oophorus complex, thirty women were selected. Women who undergoing ovarian stimulation for in-vitro fertilization and embryo transfer (IVF-ET) using the long protocol of GnRH agonist were scanned by 2-D and 3-D ultrasonography before follicular aspiration. The volume of aspirated follicular fluid was compared with corresponding volume measured by 3-D and 2-D ultrasonography. It was found that, the high accuracy of 3-D U/S measurement of follicular volume is demonstrated clearly by limits of agreement which were within 1 ml of the true volume. While, the 2-D U/S produced limits of agreement those were up to 3.5 ml above or 2.5 ml below the true volume. Also, 3-D U/S could identify cumulus oophorus complex in 86% of cases. From this study, it was concluded that 3-D U/S system is more accurate than 2-D U/S in the measurement of the true follicular volume. Also, 3-D U/S is superior to 2-D U/S for identification of cumulus oophorus complex.

Objectives: To determine the incidence of spontaneous pregnancy in women who were not undergoing therapy, while waiting for their inclusion in the AZHART program. Results; The mean age of women was 30.4 years ± 4.57. 75% were primary infertility and 25% secondary infertility. the mean duration of infertility was 8.5± 4.1. Causes of infertility were 37.5% male factor, 25% female factor and 37.5% unexplained. Seven couples (43.7%) have had experienced unsuccessful previous ART attempts. Conclusion; The rather rare possibility of spontaneous conception should not be excluded in patients with unexplained infertility and mild-moderate male and female factors infertility scheduled for ART program. The impact of psychological passionate counseling for stress relief of the infertile couple could be of value in achieving pregnancy in these patients.