الفهرس | Only 14 pages are availabe for public view |
Abstract Assessment of the endometrial with ultrasound has become a standard procedure during the diagnostic workup and treatment of infertility. In this study wecompare endometrial volume and thickness as predictors of pregnancy rate among women with regular menstrual cycles without any causes of infertility. This study had included 100 womenbetween 20-35 years old with regular menstrual cycles, who attended to outpatient clinic of Benha University Hospital and BenhaTeaching Hospital. Complete history taking from patients general and local examination was done and exclude patients had any factor of infertility (male, endocrine, tubal, and local pelvic pathology). We investigate: Husband:Normalsemen analysis. Wife:Routine investigation - Hormonal profile - β Subunit of HCG for pregnancy diagnosis. Imaging:Serial transvaginalsonography will be performed at mid-cycle until peak of follicular maturation will be observed. Assessment at that time will include measurements of the endometrial thickness and volume. Volume measurement using Virtual Organ Computer-aided Analysis (VOCAL) software. Statistical analysis had been performed for variables predicting pregnancy rate including endometrial thickness and volume. The result of the study found that there is significant difference endometrial volume in group A(7.52± 1.38) and group B (3.5 ± 2.43) and that no pregnancy occur if endometrial volume below 1.8 and, 86% of the patient above 1.8. 25% of all patientsarepregnant with sensitivity 100% and specificity18.7%. But we found only that there wassignificant difference endometrial thickness in group A(11.99 ± 2.07) and group B (7.87 ± 2.82),and that 12% of group A and 77% of group B have endometrial thickness below9.6. Only 22.7% of non-pregnantpatient above 9.6ml this is have 88% sensitivity 77% sensitivity with accuracy 88%. Finally we concludethat theendometrial volume and thickness were good predictors of pregnancy and this difference was more significant for endometrial volume. |