Application of ultrasound multimodal score in the assessment of endometrial receptivity in patients with artificial abortion

Jiao, Yan; Xue, Ning; Shui, Xiaolong; Yu, Caicha; Hu, Chunhong

doi:10.1186/s13244-020-0840-5

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…The second, proposed in 1998 ( 21 ), measured ER on Day 22 of the natural menstrual cycle before IVF. With advances in 3D technology, two articles published after 2020 ( 24 ) focused on the situation of the endometrium and its blood supply and omitted the observation of uterine artery and myometrial conditions. However, a paper published in 2002 ( 22 ) showed that the ultrasound scoring system was of limited value and could not better indicate the ER situation, which may be because the measurement in this article was performed on the HCG injection day and included many additional endometrial indicators, such as the myometrium echo, myometrium blood supply and uterine artery blood flow.…”

Section: Discussionmentioning

confidence: 99%

“…The second, proposed in 1998 (21), measured ER on Day 22 of the natural menstrual cycle before IVF. With advances in 3D technology, two articles published after 2020 (24) focused on the situation of the endometrium and its The performance of the endometrial receptivity scoring system in the verification sample. (A) Clinical pregnancy rate associated with each total endometrial receptivity score.…”

Section: Discussionmentioning

confidence: 99%

“…Because the predictive value of a single index is difficult to determine, some researchers have designed multi-index comprehensive evaluation and prediction systems. To date, there have been 6 studies of comprehensive scoring systems (20)(21)(22)(23)(24)(25), but the measurement time, inclusion indices, assigned scores and prediction value are uneven.…”

Section: Introductionmentioning

confidence: 99%

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An endometrial receptivity scoring system evaluated by ultrasonography in patients undergoing frozen–thawed embryo transfer: a prospective cohort study

Ouyang,

Peng,

Mao

et al. 2024

Front. Med.

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IntroductionUltrasound has become a routine method for endometrial receptivity (ER) evaluation. However, there is controversy over the independent evaluation values of various ultrasound indicators. Some researchers have designed multi-indicator prediction systems, but their prediction values are uneven. To further our understanding of ER, we conducted this prospective cohort study to estimate ER noninvasively and effectively.MethodsWomen who underwent the first frozen–thawed embryo transfer (FET) cycle from April 2019 to July 2021 were included in the study. On the day of transfer, transvaginal three-dimensional ultrasound examination was performed to evaluate ER, including endometrial thickness, morphology, volume, movement, blood flow and flow index. The clinical pregnancy rate was the primary outcome. Based on whether clinical pregnancy was achieved, enrolled patients were divided into pregnant and nonpregnant groups.ResultsThis study analyzed 197 FET patients (139 pregnancies in total, 70.5%). The protective factors for clinical pregnancy included primary infertility [adjusted odds ratio (aOR), 1.98; 95% confidence interval (CI), 1.01–3.882; p = 0.047] and more frequent endometrial peristalsis (aOR, 1.33; 95% CI, 1.028–1.722; p = 0.03). Scores of 1–2 were assigned according to the relationship between different ultrasound indicators and the clinical pregnancy rate (CPR). The ER score of the patient was the sum of the scores of the 6 items. The ER score of the pregnant group was significantly higher than that of the nonpregnant group (7.40 ± 1.73 vs. 6.33 ± 1.99, p = 0.001). The CPR increased with an increasing ER score. The CPR in the ER < 6 group was significantly lower than that in the ER >6 group (45.5% vs. 75.6%, p = 0.001).ConclusionA noninvasive ultrasound scoring system for ER was proposed. This system may provide a non-invasive guidance perspective, in conjunction with invasive assessments currently used in clinical practice, to achieve more effective embryo transfer.

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Section: Discussionmentioning

confidence: 99%

“…The second, proposed in 1998 (21), measured ER on Day 22 of the natural menstrual cycle before IVF. With advances in 3D technology, two articles published after 2020 (24) focused on the situation of the endometrium and its The performance of the endometrial receptivity scoring system in the verification sample. (A) Clinical pregnancy rate associated with each total endometrial receptivity score.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An endometrial receptivity scoring system evaluated by ultrasonography in patients undergoing frozen–thawed embryo transfer: a prospective cohort study

Ouyang,

Peng,

Mao

et al. 2024

Front. Med.

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“…Endometrial receptivity is closely related to pregnancy outcomes 21 . The commonly used indicators for judging endometrial receptivity include endometrial volume, endometrial thickness, and endometrial blood flow 22 . In our study, we found that STP caused a decrease in clinical pregnancy rate, but no correlation was found between endometrial thickness and clinical pregnancy rate in multiple regression analysis.…”

Section: Discussionmentioning

confidence: 99%

Association between previous surgical termination of pregnancy and pregnancy outcomes in frozen-thawed embryo transfer cycles of IVF/ICSI: a retrospective cohort study

Zhang,

Tang,

Zhou

2024

Sci Rep

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This study aimed to evaluate the effect of previous surgical termination of pregnancy (STP) on pregnancy outcomes in women undergoing FET cycles of IVF/ICSI. Retrospective cohort study. Reproductive Center of Maternal and Child Health Care Hospital in Lianyungang city. Data were selected from all IVF/ICSI FET cycles performed between January 2014 and December 2020. A total of 761 cycles met the criteria were included in this study. The primary outcome measures were clinical pregnancy and live birth rates. Secondary outcome measures were biochemical pregnancy rate, spontaneous abortion rate, and preterm birth rate. After adjustments for a series of potential confounding factors, the previous STP was an influential factor in reducing FET cycle clinical pregnancy rate compared with women who had not previously undergone STP (OR = 0.614, 95% CI 0.413–0.911, P = 0.016). The effect of the previous STP on the live birth rate was not statistically significant. (OR = 0.745, 95% CI 0.495–1.122, P = 0.159). Also, an increase in the number of previous STPs relative to only 1-time abortion was an independent risk factor in reducing clinical pregnancy rate and live birth rate (OR = 0.399,95% CI 0.162–0.982, p = 0.046; OR = 0.32,95% CI 0.119–0.857, p = 0.023). Previous STP was an independent factor contributing to the decline in FET cycle clinical pregnancy rates.

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“…Another study conducted by Kader et al 14 compared patients' previous cycles triggered by hCG to the current cycle. There were no statistically significant differences in the outcomes of the pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Effect of Dual Trigger with Follicle Stimulating Hormone and Chorionic Gonadotropin Hormone on Ovulation Rate in Infertile Women received Aromatase Inhibitor Superovulation in Kirkuk City, Iraq

Mustafa¹,

Mousa²

2022

IJDDT

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A prospective during the period October 2020 to April 2021, a comparative study was conducted at the Al-Nahrain University’s High Institute for Infertility Diagnosis and Assisted Reproductive Technologies (HIIDART). The study’s primary goal was to determine whether using a dual trigger (FSH and hCG) could increase the likelihood of achieving pregnancy. The participants in this study totaled one hundred women. Before taking part in the study, each participant signed a written informed consent form that was approved by the Al-Nahrain University’s Ethics Committee before participating. A total of one hundred and one women participated in the study, who were chosen from among those who attended the consultant clinic of the High Institute for Infertility Diagnosis and Assisted Reproductive Technologies in New York City. On the day of the IUI An ultrasound scan of the vaginal cavity was performed after 36 to 48 hours of trigger ovulation to confirm ovulation, measure, and evaluate the endometrial pattern, and assess sub endometrial blood flow. FSH, LH, Progesterone, and E2 levels were determined in a blood sample drawn on the same day for hormonal testing. Luteal phase support was initiated on the day of the IUI and continued for two weeks by administering 400 mg of progesterone vaginal suppository daily to the patient. Estimation of Beta human chorionic gonadotropins 14 days after IUI. The distribution of study groups by general characteristics is shown in Table 1. Study patients’ age was ranging from 19 to 39 years with a mean of 29.98 years and a standard deviation (SD) of ± 5.3 years. The highest proportion of study patients in all groups was aged between 25–34 years, overweighed, and complained from infertility for less than five years’ duration. The comparison in hormonal parameters between study groups at day of IUI is shown in Table 4.5. Mean of FSH level was significantly lower (p = 0.031) in group C than that in groups A and B (6.98 versus 9.06 and 9.3 IU/L respectively). Mean of E2 level was significantly higher (p = 0.001) in-group A than that in groups B and C (69.62 versus 53.32 and 36.65 pg/mL, respectively). The comparison in percentage of change in hormonal parameters at day of IUI compared to that at day of trigger according pregnancy outcome is shown in table (4.16). No significant differences between women who get pregnant than that in those who didn’t, in percentage of change of all other hormonal parameters at day of IUI (p ≥ 0.05) compared to that at day of trigger.

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Application of ultrasound multimodal score in the assessment of endometrial receptivity in patients with artificial abortion

Cited by 4 publications

References 27 publications

An endometrial receptivity scoring system evaluated by ultrasonography in patients undergoing frozen–thawed embryo transfer: a prospective cohort study

An endometrial receptivity scoring system evaluated by ultrasonography in patients undergoing frozen–thawed embryo transfer: a prospective cohort study

Association between previous surgical termination of pregnancy and pregnancy outcomes in frozen-thawed embryo transfer cycles of IVF/ICSI: a retrospective cohort study

Effect of Dual Trigger with Follicle Stimulating Hormone and Chorionic Gonadotropin Hormone on Ovulation Rate in Infertile Women received Aromatase Inhibitor Superovulation in Kirkuk City, Iraq

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