Pre-insertion uterine artery Doppler indices may predict intrauterine contraceptive device-related heavy menstrual bleeding

Rezk, Mohamed; Elkelani, Osama; Gaber, Wael; Shawky, Mohamed

doi:10.1016/j.mefs.2018.01.010

Cited by 3 publications

(7 citation statements)

References 13 publications

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“…Regarding the ROC curve of PI and RI before Cu-IUCD insertion (Fig. 4), we found that PI ≤2.02, and RI ≤0.83, correlated with heavy menstrual bleeding after insertion of IUCD, which is in accordance with previous results [6] (PI artery <1.5 and RI <0.65, P-value<0.001) and…”

Section: Discussionsupporting

confidence: 91%

“…Other earlier studies of the Doppler uterine artery showed contradictory findings. Rezk et al [6] reported the absence of any significant difference in Doppler indices of the uterine artery (PI and RI) at three and six months following IUCD insertion in either group with or without IUCD-related heavy menstrual individually. Mutlu et al [5] verified that there was no substantial difference in uterine blood flow among 120 participants who experienced an increase in menstrual bleeding, dyspareunia, or dysmenorrhea following the insertion of copper IUD when examined before insertion and six months after insertion.…”

Section: Discussionmentioning

confidence: 99%

“…The Doppler uterine artery indices the pulsatility index (PI), and resistance index (RI) have been widely researched to establish the association between heavy menstrual hemorrhage associated with IUCD and increased blood flow in the uterine artery [5,6]. Doppler analysis of the uterine artery was performed before and three and six months after IUCD insertion in this study.…”

Section: Introductionmentioning

confidence: 99%

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Uterine artery Doppler indices: pulsatility index and resistance index as predictive tools for the incidence of heavy menstrual bleeding related to copper intrauterine contraceptive device

et al. 2021

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To assess the predictive value of the initial uterine artery Doppler indices, the pulsatility index (PI), and resistance index (RI) in the prediction of heavy menstrual bleeding before and after copper intrauterine contraceptive device (IUCD) insertion. Methods The current prospective clinical study included 100 women who intended to use a copper IUCD (Cu T-380A) and met the inclusion criteria. Uterine artery Doppler PI and RI indices were calculated before IUCD insertion and at three and six months after insertion. Based on the presence or absence of menorrhagia, all women were classified into two groups: nonbleeding (n=52) and extreme menstrual bleeding (n=48). Receiver operating curve analysis (ROC) was used to determine the predictive value of uterine artery PI and RI in patients with menorrhagia relevant to IUCD. Results The PI and RI indices displayed a highly significant difference between the IUCD groups at three and six months after insertion (P<0.001). Uterine artery PI ≤2.02 (sensitivity of 95.8%, specificity of 100%, and area below the curve [AUC] of 0.97 at P-value<0.001) and RI ≤0.83 (sensitivity of 93.8%, specificity of 100%, and AUC of 0.949 at P-value<0.001) were correlated with significant menstrual bleeding following insertion of IUCD. Conclusion The presented results confirmed our assumption that the initial studies of uterine artery Doppler can predict heavy-menstrual bleeding associated with IUCD and therefore, should be conducted in women pursuing reversible long-acting contraception.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Uterine artery Doppler indices: pulsatility index and resistance index as predictive tools for the incidence of heavy menstrual bleeding related to copper intrauterine contraceptive device

et al. 2021

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“…However not all studies have reported significant association. 1,[6][7][8][9][10] Mutlu et al found no major change in uterine artery blood flow PI and RI in patients having HMB, dysmenorrhea and dyspareunia after IUCD (Cu-T) insertion. 1,10 However, all such studies were single -centre with small sample size, therefore, it requires multi-centric studies with larger sample sizes to have any significant input in the knowledge and research in this area.…”

Section: Discussionmentioning

confidence: 98%

“…There have been quite a few studies in different parts of the world on the role of uterine artery Doppler indices in prediction of IUCD related HMB. 1,[7][8][9] Attia et al had published a study on 100 women by measuring Uterine artery doppler PI and RI before IUCD insertion and these patients were followed up for 6 months. Lower PI and RI Doppler indices were found to be significantly associated with prospective HMB.…”

Section: Discussionmentioning

confidence: 99%

The role of uterine artery colour doppler in intrauterine contraceptive device IUCD – Related Abnormal Uterine Bleeding

Nath

2023

SAJHP

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This study was conducted to assess the role of Uterine Artery Colour Doppler velocimetry in prediction of intrauterine contraceptive device (IUCD) - Related Abnormal Uterine Bleeding. From this study, we concluded that the initial pre-IUCD insertion measurement of uterine artery Doppler PI and RI indices can be used as an useful predictor in Cu-T associated AUB, thus help in reducing the number of IUCD removal and non-compliance by the patient within the first year of insertion.

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Female Contraception: Comparative Study of Biometrics and Vascularization of the Uterus at Sylvanus Olympio University Hospital (Togo)

Ajavon,

Josiane,

Baguilane

et al. 2024

OJOG

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Female contraception uses both hormonal and non-hormonal methods. The aim of the study is to determine the impact of female contraception on uterine vascularisation and the endometrium. Method: It was a descriptive comparative study with an analytical aim. It took place at the University Clinic of Obstetrics Gynaecology and the Radiology and Medical imaging Department of Sylvanus Olympio University Hospital in Lomé over a two-month period from May 15, 2023 to July 15, 2023. Group 1 included women using a modern contraceptive method and group 2 women not using a modern contraceptive method. Epidata 3.1 and R 4.0.4 software were used to process the data. Results: Each group included 50 women. There were no significant differences in uterine and endometrial biometrics. All women on contraception had their zone 1 vascularized, without vascularisation of zone 2, without significant difference with women without contraception The pulsatility index was greater than 3 in 51% (n = 51) of women, including 62.7% (n = 32) of women without contraception and 37.3% (n = 19) of women on contraception, with a statistically significant difference (p = 0.009). Conclusion: Contraceptive methods do not influence the biometry of the uterus. However, uterine artery Doppler indices can predict abnormal uterine bleeding.

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Pre-insertion uterine artery Doppler indices may predict intrauterine contraceptive device-related heavy menstrual bleeding

Cited by 3 publications

References 13 publications

Uterine artery Doppler indices: pulsatility index and resistance index as predictive tools for the incidence of heavy menstrual bleeding related to copper intrauterine contraceptive device

Uterine artery Doppler indices: pulsatility index and resistance index as predictive tools for the incidence of heavy menstrual bleeding related to copper intrauterine contraceptive device

The role of uterine artery colour doppler in intrauterine contraceptive device IUCD – Related Abnormal Uterine Bleeding

Female Contraception: Comparative Study of Biometrics and Vascularization of the Uterus at Sylvanus Olympio University Hospital (Togo)

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