Uterine and ovarian blood flow in infertile and fertile women : a doppler study

Abstract EN

-Sixty two women have been recruited in the study , thirty one of them are infertile women whose ages range from 16-39 years , and thirty one are fertile women (regarded as control group) ,their age range from 16-39 years.Both groups are subjected to transvaginal Doppler ultrasound for measurement of blood flow indices : Peak systolic velocity PSV (V1) , Minimal diastolic velocity MDV (V2) and Resistive index (RI) of both ovaries and uterine myometrium and endometrium .

This examination is done during the period which extends between day 2-5 of menstrual cycle .

Measurement of serum concentration of follicular stimulating hormone FSH , lutenizing hormone LH,estrogen and progesterone is done in the same day of the cycle .

The study reveals that there is a significant effect of polycystic ovarian syndrome on ovarian blood flow but not on uterine myometrial blood flow and in general the results show that ovarian blood flow indices V1 and V2 are significantly higher in infertile patient especially those with polycystic ovarian syndrome than in normal fertile women , but no significant effect was there on RI of ovarian blood flow .The results have shown that endometrial blood flow is significantly lower in infertile women with polycystic ovary than in infertile women with non polycystic ovary.