Hysteroscopic Findings in Women With a History of Very Thin Endometrium During Assisted Conception Treatments

Marikinti, Karunakar

doi:10.1016/j.fertnstert.2005.07.955

Cited by 1 publication

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“…In OH, a thin EM was assumed https://medsci.jejunu.ac.kr/ Atef Darwish, Ibrahim Mohammad, Samuel Gendy, Dina Darwish, Mohammad Ramdan when narrow glandular openings and thin, poorly distributed blood vessels were observed in the fragile endometrium. 14 In the TVS, a thick EM was assumed when it measured 12-16 mm (excluding the secretory phase). A thick EM was identified in the OH as diffusely increased thickness with prominent glandular orifices.…”

Section: Methodsmentioning

confidence: 99%

Hysteroscopic evaluation of endometrial changes and fallopian tubal functions in women using progestin-only contraceptives

Darwish,

Mohammad,

Gendy

et al. 2024

J Med Life Sci

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The purpose of this prospective study was to investigate whether office hysteroscopy (OH) can be used to assess the mechanisms of action of progestogen-only contraceptives (POCs), diagnose possible local causes of abnormal uterine bleeding (AUB), and support the treatment plan of symptomatic patients using POCs compared with those who do not use hormones. The study included 140 women who were divided into two groups. Group A consisted of 70 women who used POCs, whereas group B consisted of 70 women who did not use hormones. They were successively examined using transvaginal ultrasonography (TVS), OH, and endometrial sampling. The TVS results were consistent with those of OH and histopathology. The changes in endometrial thickness and vasculature, as well as fallopian tube (FT) functions, were significantly more pronounced in POC users than in non-POC users. There was a significant reduction in the peristalsis of the proximal part of the FT, as well as a reduction in the bubble flow test in group A compared with group B. In addition, the combination of peristalsis and the bubble flow test (Darwishscope test) was significantly lower in group A. It was concluded that using OH as a simple diagnostic tool in women with POCs would contribute to a better understanding of the mechanisms of endometrial and FT effects and explain some local endometrial causes of AUB. This ensures that the combination of TVS and OH would limit routine endometrial sampling in POCs users.

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Section: Methodsmentioning

confidence: 99%