Assessment of Different Methods of Ovulation Induction on Endometrial and Ovarian Blood Flow by Transvaginal Ultrasound Doppler

Farhan, Abd El Sattar Mohammed; Elboghdady, Adel Aly; Elsayyad, Mohammed Emad

doi:10.21608/ejhm.2019.29167

Assessment of Different Methods of Ovulation Induction on Endometrial and Ovarian Blood Flow by Transvaginal Ultrasound Doppler

Document Type : Original Article

Authors

Department of Obstetrics and Gynaecology, Faculty of Medicine, Al-Azhar University

10.21608/ejhm.2019.29167

Abstract

The study was performed in a prospective randomized fashion in order to compare the value of tansvaginal ultrasound, and the value of combined colour Doppler imaging of uterine, ovarian blood flow and transvaginal folliculometry in assessment of ovulation induction of infertile women. Ovulation rate was taken as the gold standard for assessment of ovulation induction result Analysis of the results provided the following information: A) Better sensitivity & specificity of colour Doppler indices in detection of ovulation. B) Better timing of human chorionic gonadotrophin administration & better ovulation rate when colour Doppler was used in cycle monitoring. It can be concluded from the results of this study that combined use of transvaginal sonography& colour Doppler imaging is more reliable in assessment of ovulation & is more useful in monitoring of follicular growth and vascularity in clomiphene citrate induced cycles than the use of transvaginal ultrasound alone. The study opens a new field of ongoing research on the valuable application of colour Doppler studies in the management of gynecologic infertility due to ovarian cause.

Keywords