Limits...
Do Endometrial Movements Affect The Achievement of Pregnancy during Intrauterine Insemination?

Kim A, Young Lee J, Il Ji Y, Hyeog Lee H, Sil Lee E, Yeol Kim H, Oh YL - Int J Fertil Steril (2015)

Bottom Line: The population of this observational study was composed of unexplained infertility couples undergoing first-time IUI with clomiphene citrate between September 2010 and October 2011.The total number of 241 cycles of IUI with 49 intrauterine pregnancies (20.3%) was analyzed.Pregnant group showed higher cervicofundal movement rate (89.8 vs. 75.5%).

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Institute of Wonkwang Medical Science, College of Medicine, Wonkwang University, Iksan, Korea.

ABSTRACT

Background: This study was aimed to assess the effect of endometrial movements on pregnancy achievement in intrauterine insemination (IUI) cycles.

Materials and methods: The population of this observational study was composed of unexplained infertility couples undergoing first-time IUI with clomiphene citrate between September 2010 and October 2011. Not only endometrial movements, but also thickness, volume, pattern, and echogenic change of endometrium were analyzed prospectively in prediction of pregnancy.

Results: The total number of 241 cycles of IUI with 49 intrauterine pregnancies (20.3%) was analyzed. Pregnancy was not related to endometrial thickness and endometrial volume, but significantly related to endometrial movements associated with the number of contraction, strong movement, cervicofundal direction, and hyperechoic change (p<0.05). Pregnant group showed higher cervicofundal movement rate (89.8 vs. 75.5%).

Conclusion: For IUI cycles stimulated by clomiphene citrate in unexplained infertility women, endometrial movements on the day of IUI could be a predictor of pregnancy.

No MeSH data available.


Related in: MedlinePlus

Ultrasound images of endometrium. Echogenisity was decided by the comparison of myomertial echo. Homogeneously hypoechoic endometrium (A) is defined as a marginal hyperechoic line with a prominent hypoechoic inner layer, in which endometrial wave-like movements are observed. Inhomogeneous endometrium (B) shows an endometrium with a hyperechoic margin and a mottled inner layer, and homogeneously hyperechoic endometrium (C) exhibits an inner layer as hyperechoic as a marginal line. Internal os (arrowheads) can be identified.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4355927&req=5

Figure 1: Ultrasound images of endometrium. Echogenisity was decided by the comparison of myomertial echo. Homogeneously hypoechoic endometrium (A) is defined as a marginal hyperechoic line with a prominent hypoechoic inner layer, in which endometrial wave-like movements are observed. Inhomogeneous endometrium (B) shows an endometrium with a hyperechoic margin and a mottled inner layer, and homogeneously hyperechoic endometrium (C) exhibits an inner layer as hyperechoic as a marginal line. Internal os (arrowheads) can be identified.

Mentions: Hyperechoic changes with the endometrium were scored according to the degree of echoicity, with 0 corresponding with homogeneously hypoechoic findings, 1 corresponding with inhomogeneous findings, and 2 corresponding with homogeneously hyperechoic findings (Fig 1). Echogenisity was decided by the comparison of myomertial echo. A homogeneously hypoechoic endometrium was defined as a marginal hyperechoic line with a prominent hypoechoic inner layer. An inhomogeneous endometrium was defined as an endometrium with a hyperechoic margin and a mottled inner layer. A homogeneously hyperechoic endometrium was defined by an inner layer as a marginal hyperechoic line.


Do Endometrial Movements Affect The Achievement of Pregnancy during Intrauterine Insemination?

Kim A, Young Lee J, Il Ji Y, Hyeog Lee H, Sil Lee E, Yeol Kim H, Oh YL - Int J Fertil Steril (2015)

Ultrasound images of endometrium. Echogenisity was decided by the comparison of myomertial echo. Homogeneously hypoechoic endometrium (A) is defined as a marginal hyperechoic line with a prominent hypoechoic inner layer, in which endometrial wave-like movements are observed. Inhomogeneous endometrium (B) shows an endometrium with a hyperechoic margin and a mottled inner layer, and homogeneously hyperechoic endometrium (C) exhibits an inner layer as hyperechoic as a marginal line. Internal os (arrowheads) can be identified.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4355927&req=5

Figure 1: Ultrasound images of endometrium. Echogenisity was decided by the comparison of myomertial echo. Homogeneously hypoechoic endometrium (A) is defined as a marginal hyperechoic line with a prominent hypoechoic inner layer, in which endometrial wave-like movements are observed. Inhomogeneous endometrium (B) shows an endometrium with a hyperechoic margin and a mottled inner layer, and homogeneously hyperechoic endometrium (C) exhibits an inner layer as hyperechoic as a marginal line. Internal os (arrowheads) can be identified.
Mentions: Hyperechoic changes with the endometrium were scored according to the degree of echoicity, with 0 corresponding with homogeneously hypoechoic findings, 1 corresponding with inhomogeneous findings, and 2 corresponding with homogeneously hyperechoic findings (Fig 1). Echogenisity was decided by the comparison of myomertial echo. A homogeneously hypoechoic endometrium was defined as a marginal hyperechoic line with a prominent hypoechoic inner layer. An inhomogeneous endometrium was defined as an endometrium with a hyperechoic margin and a mottled inner layer. A homogeneously hyperechoic endometrium was defined by an inner layer as a marginal hyperechoic line.

Bottom Line: The population of this observational study was composed of unexplained infertility couples undergoing first-time IUI with clomiphene citrate between September 2010 and October 2011.The total number of 241 cycles of IUI with 49 intrauterine pregnancies (20.3%) was analyzed.Pregnant group showed higher cervicofundal movement rate (89.8 vs. 75.5%).

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Institute of Wonkwang Medical Science, College of Medicine, Wonkwang University, Iksan, Korea.

ABSTRACT

Background: This study was aimed to assess the effect of endometrial movements on pregnancy achievement in intrauterine insemination (IUI) cycles.

Materials and methods: The population of this observational study was composed of unexplained infertility couples undergoing first-time IUI with clomiphene citrate between September 2010 and October 2011. Not only endometrial movements, but also thickness, volume, pattern, and echogenic change of endometrium were analyzed prospectively in prediction of pregnancy.

Results: The total number of 241 cycles of IUI with 49 intrauterine pregnancies (20.3%) was analyzed. Pregnancy was not related to endometrial thickness and endometrial volume, but significantly related to endometrial movements associated with the number of contraction, strong movement, cervicofundal direction, and hyperechoic change (p<0.05). Pregnant group showed higher cervicofundal movement rate (89.8 vs. 75.5%).

Conclusion: For IUI cycles stimulated by clomiphene citrate in unexplained infertility women, endometrial movements on the day of IUI could be a predictor of pregnancy.

No MeSH data available.


Related in: MedlinePlus