Abstract

Objective: 3D ultrasound will be used to monitor the response of controlled ovarian stimulation and determination ofuterine receptivity in patients of PCOS.Design : prospective study.Setting : Suez Canal University & Private clinicsMaterials and methods: This study was done for three successive menstrual cycles for each case, including 50 infertilepatients with PCOS. The patients had received clomiphene citrate (CC); Follicular growth was monitored by repeatedtrans-vaginal ultrasound. When lead follicle of >I8 mm in mean diameter was detected , at this stage 1) Bndomclrinlthickness was measured 2) Determine the presence or absence of three-line appearance of the endomeirium. 3) Presenceof myomeiiial contractions 4) Myomeiiial cchogeiiicity 5) Presence of cumulus oophorus 6) Presence of ccholiicenlspace in the endocervical canal. Then, 10000 u of hCG were given intramuscularly to induce ovulalion .Results : In three cycles respectively, pregnancy rate in patients showing triple appearance of the endomeirium ai ihctime of hCG administration was 70.6, 71.4, 91.7%, showing homogenous myomelrium 73.3. 91.7, 76.9%. showingmyomelrial contraciions 80.0, 84.6, 76.9%, showing Hie cumulus oophorus 76.5, 73.3, 90.9%, and showing ccholiicenlspace in the endocervical canal was 92.9. 73.3, 76.9%.Conclusion: Folliculomelry with 3D ultrasound offers good monitoring and helps in improving cycle fecundity. With3D folliculomelry. ii might be possible to lime the administration of hCG to coincide wilh optimal follicle maturity loithe release of the highest quality oocytes and optimal uterine receptivity.

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