Sonographic uterine predictors of pregnancy in women undergoing ovulation induction for assisted reproductive treatments.
OBJECTIVE
To determine preovulatory uterine sonographic predictors of pregnancy in women undergoing ovulation induction for assisted reproductive treatments.


METHODS
Prospective evaluation of uterine sonographic and vascular flow profiles in women stimulated with leuprolide acetate and hMG.


METHODS
Private fertility center and tertiary-care academic center.


METHODS
Ninety-six women underwent 102 cycles of ovulation induction for IVF (46), GIFT (20), and zygote intrafallopian transfer (36).


METHODS
Endometrial texture, thickness, resistance index at the first branch of uterine artery, diastolic blood flow, and pregnancy outcome (no conception, spontaneous abortion, and delivery).


RESULTS
Triple-lined pattern was predominant in women who delivered liveborn infants (P < 0.005). Endometrial pattern and diastolic blood flow were the only predictive markers of term pregnancy (P < 0.001 and P < 0.05, respectively).


CONCLUSIONS
Preovulatory triple-lined sonographic endometrial texture and the presence of end diastole blood velocities at the first branch of uterine artery are the most important uterine predictors of conception.
Serafini
P
P
Huntington Reproductive Center, Pasadena, California 91105.
Batzofin
J
J
Nelson
J
J
Olive
D
D
D000328:Adult; D001158:Arteries; D003971:Diastole; D005260:Female; D005307:Fertilization in Vitro; D005544:Forecasting; D015181:Gamete Intrafallopian Transfer; D006801:Humans; D016729:Leuprolide / Q000627:therapeutic use; D008596:Menotropins / Q000627:therapeutic use; D010062:Ovulation Induction; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012039:Regional Blood Flow; D012099:Reproductive Techniques; D014463:Ultrasonography; D014599:Uterus / Q000098:blood supply / Q000000981:diagnostic imaging*; D014655:Vascular Resistance; D017388:Zygote Intrafallopian Transfer
D008596:Menotropins; D016729:Leuprolide