Uterine vascularity during stimulation and its correlation with implantation in in-vitro fertilization.

Bassil, Salim; Magritte, Jean-Philippe; Roth, Jurgen; NISOLLE, Michelle; Donnez, Jacques; Gordts, Stéphane

doi:10.1093/HUMREP/10.6.1497

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Uterine vascularity during stimulation and its correlation with implantation in in-vitro fertilization.

Bassil, Salim; Magritte, Jean-Philippe; Roth, Jurgen et al.

1995 • In Human Reproduction, 10 (6), p. 1497-1501

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https://hdl.handle.net/2268/103336

DOI
10.1093/HUMREP/10.6.1497

PubMed
7593523

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Abstract :

[en] The changes in uterine artery blood flow in women undergoing in-vitro fertilization cycles were studied throughout stimulation after gonadotrophin-releasing hormone (GnRH) desensitization. The data obtained showed that the uterine vascularity was related to hormonal changes. The GnRH agonist effect was seen only after the third week of administration, and the uterine perfusion was significantly (P = 0.002) improved by the oestradiol secretion. Human chorionic gonadotrophins increased the resistance index (RI) significantly (P = 0.0001) for a period of 48 h. Then the progesterone secretion modified the curve with a significant improvement in the uterine blood flow (P = 0.03). Comparison of the RI value 2 days before human menopausal gonadotrophin (HMG) commencement, in patients with and without pregnancy, showed a higher RI in patients who did not conceive but no difference was observed on the day of embryo transfer. The pregnancy rates were similar whatever the range of the RI observed. The data available so far suggest that haemodynamic parameters alone, detected by Doppler sonography, do not provide full information on endometrial receptivity on the day of embryo transfer. A resistance index > 0.79 before HMG commencement seems to indicate poor uterine vascularity and may necessitate an increase in the HMG doses to prevent endometrial immaturity.

Disciplines :

Reproductive medicine (gynecology, andrology, obstetrics)

Author, co-author :

Bassil, Salim

Magritte, Jean-Philippe

Roth, Jurgen

NISOLLE, Michelle ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR

Donnez, Jacques

Gordts, Stéphane

Language :

English

Title :

Uterine vascularity during stimulation and its correlation with implantation in in-vitro fertilization.

Publication date :

1995

Journal title :

Human Reproduction

ISSN :

0268-1161

eISSN :

1460-2350

Publisher :

Oxford University Press, Oxford, United Kingdom

Volume :

Issue :

Pages :

1497-1501

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 16 November 2011

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