A Comparative Analysis of Follicular Diameter Assessment Versus Doppler Ultrasound in Predicting Ovulation Timing for the Infertility Treatment: Insights From a Prospective Study

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: May 31, 2024

Background Infertility remains a significant challenge affecting millions of couples worldwide, with ovulation abnormalities being common underlying cause. Pharmacological methods, such as clomiphene citrate, are often used to stimulate ovulation. However, the optimal timing for sexual intercourse during induction contentious. Objectives This study aimed compare efficacy transvaginal ultrasonography (TVS) measuring follicle size Doppler ultrasound assessing changes in blood flow predict Methods We conducted comparative analysis involving 64 women undergoing infertility therapy. Participants were evaluated using both TVS measure diameter and assess perifollicular dynamics. The primary outcomes measured included rates, resistive index (RI) values, peak systolic velocity (PSV) conception rates. Results showed comparable age distributions between groups. There was no correlation when assessed by TVS. revealed substantial association dynamics Higher rates linked lower RI values higher PSV indicating their potential predictors Additionally, positively correlated increased vascularity Zone 4 endometrium. Conclusion indices, particularly provide critical insights into endometrial vascularity, which can enhance effectiveness fertility treatments. While these findings highlight predicting improving treatment outcomes, further research is required understand mechanisms validate results personalised strategies.

Language: Английский

Evaluation of the effect of SARS-COV-2 infection on Doppler ultrasound and placental findings of pregnant women: A systematic review and meta-analysis.

ULTRASONOGRAPHY, Journal Year: 2024, Volume and Issue: 43(6), P. 424 - 437

Published: July 15, 2024

Purpose: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can infect the human placenta and has been shown to have an adverse effect on Doppler ultrasound parameters placental features. However, specific effects of SAS-CoV-2 infection fetal-placental unit in pregnant women remain unclear. The aim this systematic review meta-analysis was evaluate impact SARS-CoV-2 findings women.Methods: A search conducted using four electronic databases (PubMed, Embase, Scopus, Cochrane Library) select publications published peer-reviewed journals written English. Odds ratios (ORs) were calculated, along with their 95% confidence intervals (CIs). Heterogeneity assessed Q I2 statistics appropriate P-value. analysis used RevMan 5.3.Results: This included 1,210 from 10 case-control studies. SARS-CoV-2–infected exhibited higher likelihoods abnormalities (OR, 2.62; CI, 1.66 4.13), aberrant values 1.95; 1.16 3.27), abnormal cerebroplacental ratio 2.68; 1.52 4.75), altered fetoplacental circulation 1.56; 1.07 2.28), increased thickness venous lakes 1.85; 1.25 2.72).Conclusion: According meta-analysis, infected are more likely experience ultrasonography abnormalities, including thickness, lakes, circulation, ratio. limited number studies requires larger sample sizes validate enhance evidence.

Language: Английский