Transvaginal Ultrasound and Doppler in Infertility

Unraveling Chronic Endometritis: A Review

“…During transvaginal color Doppler examination, CE can be suspected when there is persistently thin hypovascular endometrium with an altered junctional zone in preovulatory as well as secretory phases. 23 The persistence of focal or diffuse endometrial thickening postmenstrual is known as endometrial shreds. These endometrial shreds may either result from the inflammatory process or due to inability of the uterus to evacuate during menses efficiently.…”

“…Certain ultrasound features associated with tubercular endometritis are persistently thin endometrium, disrupted endomyometrial junction, vertically oriented interstitial part of the tube, echogenic flecks in the endometrium, vascular myometrial cysts, fluid in the endometrial cavity in the mid-proliferative phase, an echogenic inner layer of endometrium and micropolyps. 23 For infertile women with chronic granulomatous endometritis, anti-tubercular therapy (ATT) for 9-12 months is effective. In a study by Bahadur et al, on repeat hysteroscopy after completion of ATT, there was a significant improvement in grade I and II adhesions, but major adhesions (grade III onwards) persisted.…”