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Dopplersonographie in Geburtshilfe und Gynäkologie pp 327–340Cite as

Dopplersonographie in der Reproduktionsmedizin

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Zusammenfassung

Der unerfüllte Kinderwunsch betrifft ungefähr 10 bis 15 % aller Partnerschaften. Die Ursachen sind häufig multifaktoriell bedingt: Neben primär ovariellen, hypothalamisch- hypophysären, extragenital endokrinen, psychogenen, immunologischen, genetischen, tubaren, uterinen, zervikalen und vaginalen Sterilitätsursachen fallen zahlenmäßig zunehmend andrologische und nicht abklärbare Faktoren (»idiopathische Sterilität«) ins Gewicht. In 30 % der Fälle liegen Sterilitätsursachen bei beiden Partnern vor.

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Literatur

  • Aytoz A, Ubaldi F, Tournaye H, Zolst P, Van Steirtghem A, Devroey P (1997) The predictive value of uterine artery blood flow measurements for uterine receptivity in an intracytoplasmic sperm injection program. Fertil Steril 68: 9357

    Article  CAS  PubMed  Google Scholar 

  • Battaglia C, Larocca E, Lanzani A, Valentini M, Ganazzani AR (1990) Doppler ultrasound studies of the uterine arteries in spontaneous and IVF stimulated cycles. Gynecol Endocrinol 4: 245250

    Article  CAS  PubMed  Google Scholar 

  • Bloechle M, Schreiner TH, Küchler I, Schürenkämper P, Lisse K (1997) Colour Doppler assessment of ascendent uterine artery perfusion in an in-vitro ferilization-embryo transfer programme after pituitary desensation and ovarian stimulation with human recombinant follicle stimulating hormone. Hum Reprod 12: 177277

    Article  CAS  PubMed  Google Scholar 

  • Bourne TH (1991) Transvaginal color Doppler in gynecology. Ultrasound Obstet. Gynecol 1: 309312

    Google Scholar 

  • Bourne TH, Hagström HG, Hahlin M, Josefsson B, Granberg S, Hellberg P et al. (1996) Ultrasound studies of vascular and morphologic changes in the human corpus luteum during the menstrual cycle. Fertil Steril 65: 753758

    CAS  PubMed  Google Scholar 

  • Cacciatore B, Simberg N, Fusaro P, Tiitinen A (1996) Transvaginal Doppler study of uterine artery blood flow in in vitro fertilisationembryo transfer cycles. Fertil Steril 66: 130134

    CAS  PubMed  Google Scholar 

  • Chien LW, Lee WS, Tzeng CR (2004) Assessment of changes in uteroovarian arterial impedance during the peri-implantation period by Doppler sonography in women undergoing assisted reproduction. Ultrasound Obstet Gyncecol 23: 496500

    Article  CAS  Google Scholar 

  • Cornet D, Giacomini P, Pereira-Coelho A, Salat-Baroux J (1986) Etude échographique de l’épaisseur de l’endomètre au cours des cycles spontanés et stimulés: applications à la fécondation in vitro. J Gynecol Obstet. Biol Reprod 15 : 621625

    CAS  Google Scholar 

  • Coulam CB, Goodman C, Rinehart JS (1999) Colour Doppler indices of follicular blood flow as predictors of pregnancy after in-vitro fertilization and embryo transfer. Hum Reprod 14: 197982

    Article  CAS  PubMed  Google Scholar 

  • Dallenbach CH, Sterzik K, Dallenbach-Hellweg G (1987) Histologische Endometriumbefunde bei Patientinnen am Tage eines geplanten Embryo-Transfers. Geburtsh Frauenheilk 47: 623629

    Article  CAS  PubMed  Google Scholar 

  • DeZiegler D, Bessis R, Frydman R (1991) Vascular resistance of uterine arteries: physiological effects of estradiol and progesterone. Fertil Steril 55: 77579

    CAS  Google Scholar 

  • Engmann L, Sladkevicius P, Agrawal R, Bekir JS, Campbell S, Tan SL (1999) Value of ovarian stromal blood flow velocity measurement after pituitary suppression in the prediction of ovarian responsiveness and outcome of in vitro fertilization treatment. Fertil Steril 71: 2228

    Article  CAS  PubMed  Google Scholar 

  • Favre RK, Bettahar G, Grange J, Ohl E, Arbogast L et al. (1993) Predictive value of transvaginal uterine Doppler assessment in an in vitro fertilization program. Ultrasound Obstet Gynecol 3: 350353

    Article  CAS  PubMed  Google Scholar 

  • Feichtinger W, Putz M, Kemeter P (1988) Transvaginale Doppler-Sonographie zur Blutflussmessung im kleinen Becken. Ultraschall Med 9 (1): 306

    Article  CAS  PubMed  Google Scholar 

  • Fleischer AC (1991) Ultrasound imaging - 2000: assessment of uteroovarian blood flow with transvaginal color Doppler sonography, potential clinical applications in infertility. Fertil Steril 55: 684691

    CAS  PubMed  Google Scholar 

  • Goswamy RK, Steptoe PC (1988) Doppler ultrasound studies of the uterine artery in spontaneous ovarian cycles. Hum Reprod 3: 721726

    CAS  PubMed  Google Scholar 

  • Goswamy RK, Williams G, Steptoe PC (1988) Decreased uterine perfusion - a cause of infertility. Hum Reprod 3: 955959

    CAS  PubMed  Google Scholar 

  • Grab D (1994) Zur Rezeptivität des Endometriums: Stellenwert der Sonographie und Dopplersonographie im unbehandelten Menstruationszyklus und nach hormoneller Stimulation. Habilitationsschrift, Ulm

    Google Scholar 

  • Grab D, Sasse V, Terinde R, Sterzik K (1989) Der vaskuläre Widerstand der Aa. uterinae als prognostisches Kriterium für eine erfolgreiche Implantation? Fertilität 5: 6164

    Google Scholar 

  • Grab D, Sterzik K (2000) Optimierung der assistierten Reproduktion durch Einsatz der Farbdopplersonographie. In: Schmidt W, Kurjak A Farbdopplersonographie in Gynäkologie und Geburtshilfe. Thieme, Stuttgart

    Google Scholar 

  • Grab D, Stoijc S, Königbauer U, Sterzik K (1992) Uterine Blutströmungsprofile im Spontanzyklus von Sterilitätspatientinnen. Fertilität 8: 14

    Google Scholar 

  • Hansen V, Schifter S, Allen J, Maigaard S, Forman A (1988) Effects of human calcitonin gene-related peptides and substance P on human intracervical arteries. Gynecol Obstet Invest 25: 258261

    Article  CAS  PubMed  Google Scholar 

  • Hünecke B, Kleinkauf-Houcken A, Lindner C, Braendle W (2000) Überprüfung der Tubendurchgängigkeit mittels gepulster und farbcodierter Duplexdopplersonographie. In: Schmidt W, Kurjak A Farbdopplersonographie in Gynäkologie und Geburtshilfe. Thieme, Stuttgart

    Google Scholar 

  • Isaacs JD, Wells DS, Williams DB, Odem RR, Gast MJ, Strickler RC (1996) Endometrial thickness is a valid monitoring parameter in cycles of ovulation induction with menotropins alone. Fertil Steril 65: 262266

    PubMed  Google Scholar 

  • Kurjak A, Kupesic-Urek S, Schulman H, Zalud I (1991) Transvaginal color flow Doppler in the assessment of ovarian and uterine blood flow in infertile women. Fertil Steril 56: 870873

    CAS  PubMed  Google Scholar 

  • Karande VC (2003) Managing and predicting low response to standard in vitro fertilization therapy. A review of the options. Treat Endrocrinol 2: 25772

    Article  Google Scholar 

  • Lok IH, Yip SK, Cheung LP, Yin Leung PH, Haines CP (2004) Adjuvant low-dose aspirin therapy in poor responders undergoing in vitro fertilization: a prospective, randomized, double-blind, placebocontrolled trial. Fertil Steril 81: 55661

    Article  PubMed  Google Scholar 

  • Long MG, Boultbee JE, Hanson ME, Begent RHJ (1989) Doppler time velocity waveform studies of the uterine artery and uterus. Br J Obstet. Gynaecol 96: 588593

    Article  CAS  Google Scholar 

  • McParland P, Pearce JM (1990) Doppler studies in pregnancy. Rec Adv Obstet. Gynaecol 16: 4373

    Google Scholar 

  • Merce LT, Gomez B, Engels V, Bau S, Bajo JM (2005) Intraobserver and interobserver reproducibility of ovarian volume, antral follicle count, and vascularity indices obtained with transvaginal 3-dimensional ultrasonography, power Doppler angiography, and the virtual organ computer-aided analysis imaging programm. J Ultrasound Med 24: 127987

    PubMed  Google Scholar 

  • Mo LYL, Bascom PAJ, Ritchie K, McCowan LME (1988) A transmission line modelling approach to the interpretation of uterine Doppler waveforms. Ultrasound Med Biol 14: 365376

    Article  CAS  PubMed  Google Scholar 

  • Ng EHY, Tang, OS, Chan CCW, Ho PC (2005) Ovarian stromal blood flow in prediction of ovarian during in vitro fertilization treatment. Hum Reprod;20: 314751

    Article  PubMed  Google Scholar 

  • Ottesen B, Gerstenberg T, Ulrichsen H, Manthorpe T, Fahrenkrug J, Wagner G (1983) Vasoactive intestinal polypeptide (VIP) increases vaginal blood flow and inhibits uterine smooth muscle activity in women. Eur J Clin Invest 13: 321324

    Article  CAS  PubMed  Google Scholar 

  • Owman C, Alm P, Sjöberg NO (1983) Pelvic autonomic ganglia: structure, transmitters, function and steroid influence. In: Elfvin LG Autonomic Ganglia. Wiley, New York, pp 125143

    Google Scholar 

  • Owman C, Stjernquist M, Helm G, Kannisto P, Sjöberg NO, Sundler F (1986) Comparative histochemical distribution of nerve fibres storing noradrenaline and neuropeptide Y (NPY) in human ovary, fallopian tube, and uterus. Med Biol 64: 5765

    CAS  PubMed  Google Scholar 

  • Oyesanya OA, Parsons JH, Collins WP, Campbell S (1996) Prediction of oocyte recovery rate by transvaginal ultrasonography and color Doppler imaging before human chorionic gonadotropin administration in in vitro fertilization cycles. Fertil Steril 65: 806809

    CAS  PubMed  Google Scholar 

  • Paulson RJ, Sauer MV, Lobo RA (1990) Embryo implantation after human in vitro fertilization: importance of endometrial receptivity. Fertil Steril 53: 870875

    CAS  PubMed  Google Scholar 

  • Raine-Fenning NJ, Campbell BK, Clewes JS, Kendall NR, Johnson IR (2004) The interobserver reliability of three-dimensional power Doppler data aquisition within the female pelvis. Ultrasound Obstet Gynecol 23: 5018

    Article  CAS  PubMed  Google Scholar 

  • Rubinstein M, Marazzi A, de Fried EP (1999) Low-dose aspirin treatment improves ovarian responsiveness, uterine and ovarian blood flow velocity, implantation, and pregnancy rates in patients undergoing in vitro fertilization: a prospective, randomized, double-blind placebo-controlled assay. Fertil Steril 71: 8259

    Article  CAS  PubMed  Google Scholar 

  • Salle B, Bied-Damron V, Benchaib M, Desperes S, Gaucherand P, Rudigoz RC (1998) Preliminary report of an ultrasonography and colour Doppler uterine score to predict uterine receptivity in an in-vitro fertilization programme. Hum Reprod 13: 166973

    Article  CAS  PubMed  Google Scholar 

  • Schild RL, Holthaus S, d’Alquen J, Fimmers R, Dorn C, ver der Ven H, Hansmann M (2000) Quantitative assessment of subendometrial blood flow by three-dimensional-ultrasound is an important predictive factor of implantation in an in-vitro fertilization programme. Hum Reprod 15: 8994

    Article  CAS  PubMed  Google Scholar 

  • Schild RL, Knobloch C, Dorn C, Fimmers R, van der Ven H, Hansmann M (2001) Endometrial receptivity in an in vitro fertilization program as assessed by spiral artery blood flow, endometrial thickness, endometrial volume, and artery blood flow. Fertil Steril 75:3616

    Article  CAS  PubMed  Google Scholar 

  • Scholtes MCW, Wladimiroff JW, van Rjien HJM, Hop WCJ (1989) Uterine and ovarian flow velocity waveforms in the normal menstrual cycle: a transvaginal Doppler study. Fertil Steril 52: 981985

    CAS  PubMed  Google Scholar 

  • Shresta SM, Costello MF, Sjoblom P, McNally G, Bennett M, Steigrad SJ, Hughes GJ (2006) Power Doppler ultrasound assessment of follicular vascularity in the early follicular phase and its relationship with outcome of in vitro fertilization. J Ass Reprod Gen 23: 16169

    Article  Google Scholar 

  • Spernol R, Hecher K, Schwarzgruber J, Szalay S (1993) Doppler-Flow- Messungen in der A. uterina: Ein Prognosefaktor für den Erfolg bei der Behandlung durch IVF? Ultraschall in Med 14: 175177

    Article  CAS  Google Scholar 

  • Steer CV, Campbell S, Pampiglione JS, Kingsland CR et al. (1990) Transvaginal colour flow imaging of the uterine arteries during the ovarian and menstrual cycles. Hum Reprod 5: 391395

    CAS  PubMed  Google Scholar 

  • Steer CV, Campbell S, Tan et al. (1992) The use of transvaginal color flow imaging after in vitro fertilization to identify optimum uterine conditions before embryo transfer. Fertil Steril 57: 372376

    CAS  PubMed  Google Scholar 

  • Sterzik K, Dallenbach CH, Schneider V, Sasse V, Dallenbach-Hellweg G (1988) In vitro fertilization: the degree of endometrial insufficiency varies with the type of ovarian stimulation. Fertil Steril 50: 457462

    CAS  PubMed  Google Scholar 

  • Sterzik K, Grab D, Sasse V, Hütter W, Rosenbusch B, Terinde R (1989) Doppler sonographic findings and their correlation with implantation in an in vitro fertilization program. Fertil Steri. 52: 825828

    CAS  Google Scholar 

  • Sterzik K, Grab D, Schneider V, Strehler EJ, Gagsteiger F, Rosenbusch BE (1997) Lack of correlation between ultrasonography and histologic staging of the endometrium in in vitro fertilization (IVF) patients. Ultrasound Med Biol 23: 16570

    Article  CAS  PubMed  Google Scholar 

  • Strohmer H, Herczeg C, Plöckinger B, Kemeter P, Feichtinger W (1991) Prognostic appraisal of success and failure in an in vitro fertilization program by transvaginal Doppler ultrasound at the time of ovulation induction. Ultrasound Obstet Gynecol 1: 23540

    Article  Google Scholar 

  • Taylor KJW, Burns PN, Wells PNT, Conway DI, Hull MGR (1985) Ultrasound doppler flow studies of the ovarian and uterine arteries. Br J Obstet Gynecol 92: 240246

    Article  CAS  Google Scholar 

  • Tekay A, Martikainen H, Jouppila P (1995) Doppler parameters of the ovarian and uterine blood circulation in ovarian hyperstimulation syndrome. Ultrasound Obstet Gynecol 6: 5053

    Article  CAS  PubMed  Google Scholar 

  • Tenmoku S, Ottesen B, O’Hare MMT, Sheikh S et al. (1988) Interaction of NPY and VIP in regulation of myometrial blood flow and mechanical activity. Peptides 9: 269275

    Article  CAS  PubMed  Google Scholar 

  • Traurig H, Papka RE (1992) Autonomic efferent and visceral sensory innervation of the female reproductive system: special reference to the functional roles of nerves in reproductive organs. In: Maggi CA Autonomic Nervous System, Vol. 6: Nervous Control of the urogenital system. Harwood Academic Publishers, London

    Google Scholar 

  • Vlaisavljevi V, Reljic M, Gavri Lovrec V, Zazula D, Sergent N (2003) Measurement of perifollicular blood flow of the dominant preovulatory follicle using three-dimensional power Doppler. Ultrasound Obstet Gynecol 22: 5206

    Article  Google Scholar 

  • Wakeman S, Benny P (2009) Is it possible to predict a fertile cycle? Uteroovarian blood flow parameters in conception versus nonconception cycles. Fertil Steril Jun;91(6): 2726-31. Epub 2008 Jul 30

    Google Scholar 

  • Wentz A (1980) Endometrial biopsy in the evaluation of infertility. Fertil Steril 33: 121124

    CAS  PubMed  Google Scholar 

  • Zaidi J, Barber J, Kyei-Mensah A, Bekir J, Campbell S, Tan SL (1996) Relationship of ovarian stromal blood flow at the baseline ultrasound scan to subsequent follicular resonse in an In Vitro Fertilisation programm. Obstet Gynecol 88: 77984

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Frauenklinik Städtisches Klinikum München, Klinikum Harlaching, Sanatoriumsplatz 2, 81545, München

    Prof. Dr. med. D. Grab

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  1. Prof. Dr. med. D. Grab
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Editors and Affiliations

  1. Paracelsus Medizinische Privatuniversität, Salzburg, Österreich

    Horst Steiner

  2. Klinikum rechts der Isar, München

    Karl-Theo M. Schneider

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Grab, D. (2012). Dopplersonographie in der Reproduktionsmedizin. In: Steiner, H., Schneider, KT. (eds) Dopplersonographie in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20938-3_28

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  • DOI: https://doi.org/10.1007/978-3-642-20938-3_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48208-7

  • Online ISBN: 978-3-642-20938-3

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