The assessment of normal and abnormal luteal function by transvaginal color Doppler sonography

Kupesic S, Kurjak A

doi:10.1016/s0301-2115(96)02666-8

The assessment of normal and abnormal luteal function by transvaginal color Doppler sonography

Kupesic S et al., 1997

European Journal of Obstetrics, Gynecology, and Reproductive Biology, 72(1), 83-87

DOI 10.1016/s0301-2115(96)02666-8 PMID 9076427

Abstract

Objective

To evaluate intraovarian resistance index (RI) in 47 healthy fertile volunteers with ovulatory cycles, 28 patients with luteal phase defect (LPD) and four patients with luteinized unruptured follicle (LUF Sy).

Study Design

Transvaginal color Doppler assessment of the follicular and corpus luteum blood flow and plasma progesterone (P) levels were obtained in each patient.

Results

Significantly higher intraovarian artery RI (< 0.001) was obtained for LPD group than for controls during the luteal phase. In the control group both follicular and corpus luteum RI were significantly lower (P < 0.001) on the dominant side, while in LPD group no difference (P > 0.05) between the sides occurred. Mean P levels were significantly lower (P < 0.001) in the LPD group (6.9 +/- 2.3 ng/ml) than in controls (24.1 +/- 11.4 ng/ml). In all the LPD patients histopathology revealed delayed endometrial pattern, while normal endometrial dating was found in all the evaluated patients form the control group (n = 15). In the patients with LUF Sy (n = 4) similar RI values were obtained in the follicular and corpus luteum phase. There was no difference between the sides in terms of the intraovarian RI, while subnormal values of P were obtained in all the examined patients (14.1 +/- 6.2 ng/ml).

Conclusions

Transvaginal color Doppler may predict the function capacity of the corpus luteum.

Topics

Reproductive Endocrinology > Luteal Phase > Luteal Phase Defect Diagnosis Diagnostics > Ultrasound > Transvaginal Color Doppler Menstrual Cycle > Luteal Phase > Corpus Luteum Function

transvaginal color Doppler corpus luteum blood flow, luteal phase defect ultrasound diagnosis resistance index, intraovarian artery resistance index luteal function, corpus luteum vascularization progesterone levels, luteinized unruptured follicle syndrome Doppler sonography, Kupesic Kurjak color Doppler ovarian blood flow, luteal phase defect endometrial biopsy dating, corpus luteum functional capacity Doppler assessment, ovarian resistance index dominant versus nondominant side, luteal phase progesterone deficiency noninvasive diagnosis

PMID 9076427 9076427 DOI 10.1016/s0301-2115(96)02666-8 10.1016/s0301-2115(96)02666-8

Cite this article

Kupesic, S., & Kurjak, A. (1997). The assessment of normal and abnormal luteal function by transvaginal color Doppler sonography. *European journal of obstetrics, gynecology, and reproductive biology*, *72*(1), 83-87. https://doi.org/10.1016/s0301-2115(96)02666-8

Keywords

Corpus Luteum/blood Supply/diagnostic Imaging, Female, Humans, Luteal Phase, Ovarian Diseases/diagnostic Imaging, Ovarian Follicle/blood Supply, Progesterone/blood, Ultrasonography, Doppler, Color, Vagina, Vascular Resistance, Progesterone

The assessment of normal and abnormal luteal function by transvaginal color Doppler sonography

Abstract

Topics

Cite this article

Keywords

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