Side of ovulation and its effects on uterine and ovarian stromal blood flow and reproductive hormones.
OBJECTIVE
Effect of the side of ovulation on uterine, ovarian, and follicular blood flow parameters and various hormone levels.


METHODS
Prospective, observational study.


METHODS
Fertility Clinic, St. George's Hospital.


METHODS
Nineteen women with regular menstrual cycles. Pulsed Doppler measurements and serum hormonal concentrations during midfollicular, periovulatory, and midluteal phase for three successive cycles.


METHODS
Doppler blood flow and serum hormones.


RESULTS
Doppler blood flow of the ovarian stroma and follicular and uterine arteries showed no differences in the three phases between the right and left sides. Left-side uterine peak systolic velocity (PSV) (right-side PSV, 31.51cm/s; left-side PSV, 37.38 cm/s) during the periovulatory phase tended to be higher in the nondominant ovary; however, this was not quite significant. The serum hormone concentration showed no significant differences.


CONCLUSIONS
The side of ovulation did not influence the Doppler blood flow to the ovarian stroma or follicular and uterine arteries. The side of ovulation had no effect on serum FSH, LH, 17beta-estradiol, P, inhibin A, or inhibin B levels.
Ojha
Kamal
K
Diana, Princess of Wales Centre for Reproductive Medicine, Academic Department of Obstetrics and Gynaecology, St. George's Hospital Medical School, London, United Kingdom. kojha@sghms.ac.uk
Sladkevicius
Povilas
P
Scaramuzzi
Rex
R
Collier
Timothy
T
Campbell
Stuart
S
Nargund
Geeta
G
D000328:Adult; D001158:Arteries / Q000502:physiology; D004958:Estradiol / Q000097:blood*; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood*; D006801:Humans; D007986:Luteinizing Hormone / Q000097:blood*; D008597:Menstrual Cycle / Q000097:blood*; D010053:Ovary / Q000098:blood supply* / Q000166:cytology; D010060:Ovulation / Q000502:physiology*; D011374:Progesterone / Q000097:blood*; D011446:Prospective Studies; D012016:Reference Values; D012039:Regional Blood Flow / Q000502:physiology*; D017154:Stromal Cells / Q000166:cytology; D018608:Ultrasonography, Doppler; D014599:Uterus / Q000098:blood supply* / Q000166:cytology
D011374:Progesterone; D004958:Estradiol; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone