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Power Doppler Endometrial Evaluation as a Method for the Prognosis of Embryo Implantation in an ICSI Program

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Abstract

Purpose: The objective of the present study was to evaluatepower Doppler of the endometrium as a parameter for theprognosis of embryo implantation in patients who underwentintracytoplasmic sperm injection (ICSI).

Methods: The power Doppler was performed on a transversesection at the level of the uterine fundus on the day of humanchorionic gonadotropin in 185 patients who submitted toovarian stimulation for ICSI. The endometrium was dividedinto four equal quadrants and classified as grade I, II, III,or IV according to the visualization of the power Dopplerin the quadrants. The color Doppler signal was consideredto be positive when it reached at least the basal layer ofthe endometrium.

Results: Age, number of days of stimulation, number offollicles ≥ 16 mm, number of oocytes in metaphase IIretrieved, and fertilization rate did not differ patients withthe four different types of endometrial grades. Endometrialthickness and the pulsatility index of uterine artery alsowere similar for the four grades. The rate of embryo implantationalso did not differ significantly (P = 0.53) amonggroups: grade I = 10%; grade II = 11.6%; grade III =15.4%; grade IV = 10.5%. The pregnancy rates were gradeI = 25%; grade II = 29.7%; grade III = 37.5%; gradeIV= 23.8% (P = 0.44).

Conclusions: Our data demonstrate that isolated evaluationof endometrial vascularization with power Doppler is notan important factor for the prediction of pregnancy in anICSI program.

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Authors and Affiliations

  1. Center for Human Reproduction, Sinhá Junqueira Maternity Foundation, Rua D. Alberto Gonçalves, 1500/CEP 14085-100, Ribeirão Preto, SP, Brazil

    Paula Contart, Ricardo Luis Razera Baruffi, Joaquim Coelho, Ana Lúcia Mauri, Claudia Petersen & José Gonçalves Franco Jr

  2. Division of Obstetrics and Gynecology, University of Ribeirão Preto (UNAERP), Brazil

    José Gonçalves Franco Jr

Authors
  1. Paula Contart
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  2. Ricardo Luis Razera Baruffi
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  3. Joaquim Coelho
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  4. Ana Lúcia Mauri
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  5. Claudia Petersen
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  6. José Gonçalves Franco Jr
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Contart, P., Baruffi, R.L.R., Coelho, J. et al. Power Doppler Endometrial Evaluation as a Method for the Prognosis of Embryo Implantation in an ICSI Program. J Assist Reprod Genet 17, 329–334 (2000). https://doi.org/10.1023/A:1009405128160

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  • DOI: https://doi.org/10.1023/A:1009405128160

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