title: A comparative analysis of arterial blood flow in unexplained infertility, tubal infertility and fertile groups.
abstract: We aimed to compare ovarian (O), uterine (U) and spiral (S) artery (A) resistance of patients diagnosed as fertile, unexplained infertility (UI) and tubal factor infertility (TFI) in the peri-implantation period and independent from the impact of the treatment. UI (n = 70), TFI (n = 75) and fertile (n = 72) patients' ovarian, uterine and spiral artery pulsatility index (PI), resistance index (RI) and the endometrial thickness, serum estradiol and progesterone levels were compared. The specificity and sensitivity values were calculated according to determined cutoff values. Both TFI and control groups' UA PI values were significantly lower than the UI group's PI values. The highest UA RI values were found in UI group and the lowest values were in the control group. UI and TFI groups' OA PI/RI values were significantly higher than the control group. Both the control and TFI groups' SA PI/RI values were significantly lower than UI group's PI/RI values. UI patients' uterine and spiral arteries PI values >1.86 and >0.85, RI values >0.80 and >0.53 can be used as a valuable test showing reduced uterine perfusion. Ovarian artery PI values  >0.96 and RI values  >0.58 can be used as tests showing decreased ovarian perfusion in patients with TFI. In these patients, embryo cryopreservation can be considered.
authors.affiliation: a Department of Obstetrics and Gynecology , In Vitro Fertilization Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey and.
authors.forename: A G
authors.initials: AG
authors.lastname: Zebitay
authors.affiliation: a Department of Obstetrics and Gynecology , In Vitro Fertilization Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey and.
authors.forename: M
authors.initials: M
authors.lastname: Tutumlu
authors.affiliation: a Department of Obstetrics and Gynecology , In Vitro Fertilization Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey and.
authors.forename: F F
authors.initials: FF
authors.lastname: Verit
authors.affiliation: a Department of Obstetrics and Gynecology , In Vitro Fertilization Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey and.
authors.forename: G K
authors.initials: GK
authors.lastname: Ilhan
authors.affiliation: a Department of Obstetrics and Gynecology , In Vitro Fertilization Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey and.
authors.forename: E S
authors.initials: ES
authors.lastname: Gungor
authors.affiliation: a Department of Obstetrics and Gynecology , In Vitro Fertilization Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey and.
authors.forename: O
authors.initials: O
authors.lastname: Cetin
authors.affiliation: b Doppler Ultrasonography Unit, Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Vuruşkan
mesh_terms: D000328:Adult; D001158:Arteries / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000145:classification / Q000000981:diagnostic imaging*; D010053:Ovary / Q000098:blood supply* / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color / Q000379:methods*; D055988:Uterine Artery / Q000000981:diagnostic imaging; D014599:Uterus / Q000098:blood supply* / Q000000981:diagnostic imaging
keywords: Doppler; endometrial and ovarian perfusion; tubal factor infertility; unexplained infertility