Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women

El-Mazny, Akmal; Kamel, Ahmed; Ramadan, Wafaa; Gad-Allah, Sherine; Abdelaziz, Suzy

doi:10.2147/ijwh.s124229

Cited by 6 publications

(3 citation statements)

References 22 publications

(24 reference statements)

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“…Diminished ovarian volume and low number of antral follicles of 2-10 mm are indications of ovarian maturing that might be noticed sooner than an ascent in FSH focuses. Akmal El-Mazny et al led an examination in 2016 his exploration exhibit the ovarian artery PI in benchmark group was 1.6±0.4 and RI 0.85±0.11 in ordinary ripe females, their outcomes showed that there were no critical contrasts seen in the ovarian Doppler files between endometrioma-containing ovaries and contralateral ovaries 22 . Steer et al, showed that expanded uterine corridor blood stream obstruction can cause unexplained infertility 23 .…”

Section: Discussionmentioning

confidence: 99%

Ovarian risk factors of female infertility by transvaginal ultrasonography

Tul-Sughra¹,

Gilani²,

Hanif³

et al. 2021

PJMHS

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Aim: To determine the Ovarian risk factors of female infertility by transvaginal ultrasonography Study design: Cross sectional validation study Methods: The study comprised women visiting the department with unexplained infertility for treatment during the period of 2018 to 2020. A total of 550 cycles were inducted primarily referred for ovarian assessment by ultrasound with patent tubes and normal utero-ovarian morphology. All those women having no conception with normal semen analysis of their husbands. Male factor infertility was also excluded. Baseline transvaginal sonography (TVS) was performed at proliferative phase, of the cycle. Mature follicles were studied by TVS. On an individual basis, the following parameters, that is, follicle size, ovarian volume and ovarian artery Doppler PI, RI were studied. Follicle size and ovarian artery Doppler flow were highly significant for a pregnancy. Results: In this research two types of infertility was compared with normal group as for as the primary infertile females were 99 (18.00%) and secondary infertile females were 144 (26.18%) and normal were 307 (55.82%). Out of 550 patients 243 (44.18%) patients were infertile and 307 (55.82%) were normal. Discussed in this research. Conclusions: Ovarian ultrasound assessment proved to be a simple, noninvasive and authentic to predict the ovarian environment and thereby helping in the prediction of the outcome in infertility. Keywords: Infertility, Doppler ultrasonography, Transvaginal ultrasonography, Resistive index, Pulsatility index

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Section: Discussionmentioning

confidence: 99%

Ovarian risk factors of female infertility by transvaginal ultrasonography

Tul-Sughra¹,

Gilani²,

Hanif³

et al. 2021

PJMHS

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show abstract

“…Mostly attention is paid to changes of sizes and structure of internal genital organs by ultrasound echography. But it ought to re-member that forming of endometrioid foci commonly begins from development of new blood vessels [6]. So, changes of hemodynamics in vessels that can be determined by Doppler are important for complete diagnosis of endometriosis.…”

Section: в д воробийmentioning

confidence: 99%

Doppler Assessment of Uterine and Intraovarian Blood Flow in Patients with Genital Endometriosis

Воробий

2017

ZMJ

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The spread of endometriosis among women of reproductive age is 5-10 %. Forming of endometrioid foci commonly begins from development of new blood vessels. So, changes of hemodynamics in vessels that can be determined by Doppler are important for complete diagnosis of endometriosis. Aim of research was to evaluate the uterine and intraovarian hemodynamic changes in women with internal and external genital endometriosis. Materials and methods. The research included 65 women with diagnosis of external genital endometriosis who formed the I st group. 38 women with internal genital endometriosis were included into the II nd group. Control group involved 30 women without genital endometriosis. Doppler study was set in both phases of menstrual cycle with determination of uterine and intraovarian pulsatility index, resistance index and systolic/diastolic ratio in uterine arteries. Results. In patients with endometriosis we found hemodynamic disturbances in uterine arteries of varying degrees which depended on localization of the pathological process and its stages. In women of I group with I and II stages of external endometriosis indices of peripheral vascular resistance did not differ significantly from parameters of the control group. There was moderate increase of vascular resistance indices higher over healthy women (P < 0.05) in this group in patients with III stage. Increase of peripheral vascular resistance was detected, which grew rapidly according to severity of disease by II-III stages of internal endometriosis. Critical changes of circulation in form of dicrotic notch were detected in 31.58 % of patients with III stage of internal endometriosis. In half of all cases dicrotic notches were symmetrical in both uterine arteries. In addition, in 36.84 % of patients with III degree of internal endometriosis negative blood flow in diastole phase was determined. Significant important difference of pulsatility index and resistance index in intraovarian velocity between healthy women and patients with internal and external endometriosis was not determined, except persons with endometriod cysts, who had resistant index of intraovarian circulation in both phases of the menstrual cycle over 0.55. Conclusions. Blood velocity in uterine arteries during menstrual cycle in patients with genital endometriosis demonstrated highly resistant blood flow in women with external (III stage) and internal (II-III stages) endometriosis and intraovarian velocity (in persons with endometriod cysts). Decompensated changes in blood velocity in uterine arteries were observed only in patients with III stage of internal endometriosis.

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“…Typically in more than 80% of cases, they appear as a thick walled ovarian cyst containing homogenous "ground-glass" content with no internal vascularity [5,12] . Endometriomata maybe unilateral or bilateral; uni-or multilocular, sometimes single or multiple, and usually more commonon the left side [13] .…”

Section: Introductionmentioning

confidence: 99%

Ovarian Endometrioma and Infertility

2017

ARC Journal of Gynecology and Obstetrics

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Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women

Cited by 6 publications

References 22 publications

Ovarian risk factors of female infertility by transvaginal ultrasonography

Ovarian risk factors of female infertility by transvaginal ultrasonography

Doppler Assessment of Uterine and Intraovarian Blood Flow in Patients with Genital Endometriosis

Ovarian Endometrioma and Infertility

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