Prediction of Pregnancy Outcome in ICSI Cycles Using Endometrial and Total Follicular Volume in the Day of HCG Trigger

Abstract

SUMMARY S onography has made marked advances in the recent management of female infertility. Transvaginal sonography provides the gynecologist with a means that enables him not only to assess normal and stimulated cycles, but also aids in follicle aspiration and embryo. The color Doppler enables transvaginal probes to visualize small intraovarian and endometrial vessels, allowing accurate observation of normal and abnormal physiologic vascular changes in the ovary and uterus. When properly implemented could assist in prediction of ovulation and diagnosing of particular ovulatory dysfunctions e.g luteal phase defect (LPD). Doppler study of ovarian blood flow may clarify the early diagnosis of ovarian hyperstimulation syndrome in patients using ovulation induction. SonoAVC is an ideal and, potentially, a clinically important tool for the assessment and measurement of follicles during controlled ovarian stimulation because each hypoechoic area is individually color coded, thereby eliminating the possibility of measuring the same follicle more than once. Preliminary work already has shown that SonoAVC provides highly valid measures of follicle diameter and