Obstet Gynecol Sci.  2023 Mar;66(2):58-68. 10.5468/ogs.22131.

Doppler ultrasound investigation of female infertility

• Choi YJ
• Lee HK
• Kim SK

• KMID: 2540474
• DOI: http://doi.org/10.5468/ogs.22131

Abstract

This study reviewed recent advances in the use of Doppler ultrasonography for the management and prediction of female infertility outcomes of assisted reproductive technology (ART). Color or power Doppler and three-dimensional power Doppler ultrasound can be used to measure vessels near the ovaries, uterus, and endometrium to assess blood flow. Increased blood flow and reduced resistance to the ovaries, uterus, and endometrium are associated with improved pregnancy outcomes, and their measurement has been suggested as a key factor in ART procedural outcomes. Perifollicular vascularity indices can help predict oocyte quality and maturity. Likewise, endometrial and uterine vascularity could be associated with endometrial receptivity and may assist with embryo transfer timing and pregnancy outcome predictions. With the advancement of Doppler ultrasound technology, this highly potent examination will be used more widely in routine clinical settings for the treatment of female infertility.

Keyword

Reproductive techniques; assisted; Ultrasonography; Doppler; Infertility; female; Ultrasonography

Figure

• 

  Fig. 1 Patients’ outcome. It has a good outcome for patients with abundant endometrial blood flow (A) of IVF-ET, and insufficient flow has a bad outcome (B). Adopted from Wang et al. [61]. IVF-ET, in vitro fertilization embryo transfer.

• 

  Fig. 2 Endometrial blood flow. It has a better outcome for parameters with low endometrial blood flow (such as low PI, RI, S/D) (A) of IVF-ET compared with those who had high blood flow parameters (B). Adopted from Wang et al. [61]. S/D, systole to diastole; RI, resistance index; PI, pulsatility index; IVF-ET, in vitro fertilization embryo transfer.

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