Volume : VI, Issue : VI, June - 2017

ENDOMETRIAL EVUALUATION IN INFERTILITY: STUDY OF 50 CASES

Pooja Bansal, Manjari Matah

Abstract :

BACKGROUND:: Various  disorders  lead to infertility in women of reproductive ages. This study was performed to describe the common ENDOMETRIAL causes of infertility and sonographic ,histerosalpingographic, and endometrial biopsy evaluation of these causes for midwives.    Introduction– Successful implantation depends on interaction between a blastocyst and receptive endometrium. Different strategies have been developed to evaluate endometrial receptivity, such as the histologic dating of an endometrial biopsy or more commonly a non–invasive ultrasound examination of the endometrium. Aims and objectives– To study the endometrialstatus in infertility cases by following parameters: 1.TVSon day 12–13 (pre ovulatory period) –endometrial thickness, pattern and sub–endometrial blood flow. 2.HSG–also used for evaluation of uterine cavity. 3.Histopathology and TB PCR of premenstrual endometrial biopsy.   Material and methods: It is a prospective study, carried out in the Department of Obstetrics and Gynecology, Institute of Medical Sciences in collaboration with the Department of Radiodiagnosis, Banaras Hindu University, over a period of 2 years. Hundred patients with infertility attending Female OPD (FOPD) of SSH, BHU were the subject. Patients complaining of infertility, aged 19–45 years, sexually active were subjected to detailed history & clinical examination, HSG, TB PCR and histopathology of premenstrual endometrial tissue and TVS & color Doppler study (endometrial thickness, pattern and vascularity). Measurements were analyzed relative to outcome. Results: Maximum rate of conception was seen with endometrial thickness 10–14mm (61.54%) and with triple line pattern of endometrium. There was no conception in zone I flow and maximum conception rate (25%) was seen when zone III flow was present. Majority of patients with genital tuberculosis had their endometrial thickness <7mm and absent triple line endometrium reflects poor receptivity of the endometrium and local endometrial factor as a cause for infertility. Conclusion: Our results show that no single parameter is specific enough to predict conception. Further study is needed to make a definitive conclusion

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

POOJA BANSAL, MANJARI MATAH, ENDOMETRIAL EVUALUATION IN INFERTILITY: STUDY OF 50 CASES, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-6 | JUNE-2017

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