Defining endometrial growth during the menstrual cycle with three‐dimensional ultrasound

Raine‐Fenning, N.; Campbell, Bruce; Clewes, J.; Kendall, N.R.; Johnson, I. R.

doi:10.1111/j.1471-0528.2004.00214.x

Cited by 53 publications

(40 citation statements)

References 39 publications

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“…Even in empirical articles that report little luteal variation in ET, a clear, though qualitative, change in ET can be observed (Figure 2, Table 6). Research measuring ET serially is infrequent, but we have found articles that document ET via transvaginal ultrasound in Canadian (Baerwald and Pierson, 2004), Scottish (Randall et al, 1989), English (Raine-Fenning et al, 2004), and Swedish populations (Bakos et al, 1994). There are a few confounding problems with the serial measurements from the literature when it comes to assessing luteal endometrial function.…”

Section: Discussionmentioning

confidence: 99%

Endometrial thickness is not independent of luteal phase day in a rural Polish population

Clancy

Ellison

Jasieńska

et al. 2009

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The endometrium is important for luteal phase function, implantation, placentation, and gestation. Endometrial morphology has been shown to impact early pregnancy success in in vitro fertilization and egg donor cycles and has been implicated in conception success in spontaneous cycles. However, few studies have monitored endometrial morphology in normo-ovulatory women or examined possible population variation in its physiology or thickness. Further, the methodology of most studies of the endometrium is to take a single measurement close to ovulation, meaning the endometrium is not often measured during the window of implantation; the assumption has been that an individual's endometrial thickness (ET) is consistent through the luteal phase. Therefore, we have tested the hypothesis that ET is independent of luteal phase day in a study of urban-dwelling US and rural Polish women. We found that ET is not independent of luteal phase day in this sample of rural Polish women: ET is negatively associated with cycle day (P = 0.03). Compared to the US sample, the Polish sample also had a significantly later age at menarche (P = 0.002), lower midluteal progesterone concentrations (P = 0.0006), lower C-peptide concentrations (P = 0.0003), and higher energy expenditure (P = 0.03), suggesting greater energetic constraint. The relationship between ET and luteal phase length highlights the need to measure the endometrium serially over the menstrual cycle in order to better document inter-and intra-population variation in reproductive function.

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Section: Discussionmentioning

confidence: 99%

Endometrial thickness is not independent of luteal phase day in a rural Polish population

Clancy

Ellison

Jasieńska

et al. 2009

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“…Raine-Fenning et al in another study concluded that the endometrial, and the sub-endometrial blood flows reduced in women with unexplained infertility irrespective the serum levels of estrogen and/or progesterone, and endometrial morphology (28).…”

Section: Discussionmentioning

confidence: 98%

“…Because, the method to predict the endometrial receptivity not yet established, the 3D ultrasound parameters of the endometrium, and the sub-endometrial blood flow indices suggested as predictors of IVF success (26,28).…”

Section: Discussionmentioning

confidence: 99%

Endometrial Volume, and Sub-Endometrial Blood Flow Indices as Predictors of ICSI Success

Abuelghar¹,

Elkholy²,

Abdelazim³

et al. 2018

Gynecol Obstet Reprod Med

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OBJECTIVE:This study designed to evaluate the endometrial volume, and the sub-endometrial flow indices as predictors of Intra-cytoplasmic sperm injection success. STUDY DESIGN:Fifty infertile women included in this study, and received long pituitary downregulation protocol followed by hMG controlled hyperstimulation until ≥ 3 ovarian follicles 18-20 mm in diameter detected. Ovulation triggered by hCG, followed by oocytes retrieval 34-36 hours after hCG trigger. Day 2 or 3 embryo transfers done for all studied women, followed by quantitative β-hCG 14 days after the embryo transfers, and transvaginal sonography to diagnose clinical pregnancy. Studied women evaluated by the 3D ultrasound, and 3D power Doppler angiography at the day of the embryo transfers to assess the endometrial volume, and the sub-endometrial flow indices as predictors of the Intra-cytoplasmic sperm injection success. RESULTS:The endometrial volume, sub-endometrial vascularization index, flow index, and vascularization flow index were higher in successful Intra-cytoplasmic sperm injection compared to unsuccessful ICSI group, but the difference was not significant. The ROC analysis showed that the endometrial volume and the 3D power Doppler angiography parameters (vascularization index, flow index, and vascularization flow index indices) were not conclusive for prediction of successful clinical pregnancy after the current Intra-cytoplasmic sperm injection trials. CONCLUSION:The endometrial volume and the 3D power Doppler angiography indices were not predictive for the clinical pregnancy after the current Intra-cytoplasmic sperm injection trials.

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“…[9][10][11][12][13][14][15][16][17] Other applications of 3-dimensional sonography of the endometrium include endometrial volume measurements in patients with postmenopausal bleeding, assessment of intracavitary lesions, evaluation of endometrial receptivity during in vitro fertilization, localization of the maximal implantation point during sonographically guided embryo transfer, and use in association with extrauterine gestations. [18][19][20][21][22][23] Recently, 3-dimensional transvaginal sonography of the endometrium has assisted the diagnosis of interstitial and intramural pregnancies.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Sonographic Findings of a Cervical Pregnancy

Sherer

Gorelick

Dalloul

et al. 2008

Journal of Ultrasound in Medicine

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cervical pregnancy is an uncommon ectopic pregnancy that accounts for less than 1% of such gestations. 1 This condition is associated with an extremely high risk of massive hemorrhage and previously often required hysterectomy. 1 The current diagnostic modality of this potentially lifethreatening condition is transvaginal sonography, supported at times by magnetic resonance imaging. [2][3][4] The definitive diagnostic imaging feature of a cervical pregnancy is the location of a gestational sac in the cervix in the presence of a closed internal uterine cervical os. [2][3][4][5][6][7] We report the 3-dimensional transvaginal sonographic findings of a cervical pregnancy at 6 weeks' gestation.Received August 8, 2007, Case ReportA 34-year-old woman, gravida 3, para 0, came to the emergency department at State University of New York Downstate Medical Center with mild uterine hemorrhage. Her medical history was unremarkable. The patient had 2 previous spontaneous first-trimester miscarriages. Physical examination revealed a healthy individual. She was afebrile with a blood pressure of 120/78 mm Hg, a pulse of 84 beats per minute, and a respiratory rate of 20 breaths per minute. Her abdomen was soft and nontender, with no peritoneal signs elicited. Bimanual pelvic examination disclosed a soft, mildly enlarged uterus. Both adnexa were normal. The cervix was long and closed and appeared boggy on inspection.Laboratory test results revealed a hemoglobin level of 13.6 g/dL, a hematocrit value of 42%, a white blood cell count of 7.29 × 10 9 /L, and a platelet count of 255 × 10 9 /L.

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Defining endometrial growth during the menstrual cycle with three‐dimensional ultrasound

Cited by 53 publications

References 39 publications

Endometrial thickness is not independent of luteal phase day in a rural Polish population

Endometrial thickness is not independent of luteal phase day in a rural Polish population

Endometrial Volume, and Sub-Endometrial Blood Flow Indices as Predictors of ICSI Success

Three-Dimensional Sonographic Findings of a Cervical Pregnancy

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