About the Author AbstractPurpose To detect whether ultrasonographic parameters and Doppler analysis of uterine blood flow can be of value in the prediction of endometrial receptivity in infertile female patients undergoing embryo transfer. Methods In this study, a total of 200 women with primary infertility undergoing embryo transfer were analyzed. Transvaginal ultrasonography was done on the 10th day of the menstrual cycle. To assess the uterine receptivity, we analyzed all the ultrasonographic and Doppler parameters. The slightly modified version of Applebaum Uterine Scoring System was used. This uterine scoring system included all the following parameters: endometrial thickness, endometrial morphology, endometrial blood flow within zone 3, myometrial echogenecity, uterine artery pulsatility index (PI), end diastolic blood flow, and myometrial blood flow internal to the arcuate vessels seen on gray-scale examination. Results The pregnancy rates were higher in women with thick, distinct five-line endometrium and multifocal endometrial vascularity within zone 3. Absent endometrial flow, despite highest values for the other parameters, was associated with no conception. In our study, no pregnancy occurred with uterine PI values of more than 2.8. Absence or reversal of end diastolic blood flow was associated with no conception. A maximum score of 20 was associated with the pregnancy rate of 97.4 %, whereas scores of 13 or less resulted in no pregnancies. 123Conclusion Uterine scoring system will help to perform embryo transfers in only favorable uteri and postpone or cancel those cycles in which poor uterine score is demonstrated.

AimTo study various causes of AUB and classify them according to new FIGO system of PALM COEIN classification. IntroductionAbnormal Uterine Bleeding (AUB) is a significant debilitating clinical condition and affects 14-25% of women of reproductive age and up to 50% of perimenopausal women.

INTRODUCTIONAUB is a common clinical presentation it amounts to 35% of gynae OPD visits and 25% of gynaecological surgeries and this incidence rises to 69% in peri and postmenopausal age.1 There are various causes of AUB from hormonal dysfunction to endometrial cancer .in order to manage effectively it is important to diagnose accurately the cause of abnormal bleeding.Various methods used to diagnose the structural causes of AUB include ultrasonography, sonosalpingography, ABSTRACTBackground: Abnormal uterine bleeding is the most common gynecological problem comprising more than 30-50% of gynecological OPD patients. There are various causes of AUB from hormonal dysfunction to endometrial cancer. In order to manage effectively it is important to diagnose accurately the cause of abnormal bleeding. This study outlines the place of hysteroscopy and its role in evaluation of intrauterine causes of AUB.Methods: This is a Retrospective cross sectional observational study conducted in department of Obstetrics and Gynaecology at CCM Medical College, Durg, Chhattisgarh. 350 Patients between 20-70 years age presenting to general gynae OPD with abnormal uterine bleeding at CCM medical college over a period of 2 years between 1

Gossypibomas or Textiloma can often present, clinically or radiologically, similar to tumors and abscesses, with widely variable complications and manifestations, making diagnosis difficult and causing significant patient morbidity. Gossypiboma should be removed as soon as diagnosed. Surgery either by laparoscopy or laparotomy is the treatment of choice especially in cases with deeply located foreign body or fistulas.