scholarly journals Precision Follicular Self-Measurement Using a Pocket-Sized Transabdominal Ultrasound Device

2021 ◽  
Author(s):  
Hiroaki Fujita ◽  
Iwaho Kikuchi ◽  
Satoshi Enomoto ◽  
Ryo Nakagawa ◽  
Reiko Kitayama ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Transabdominal Ultrasound ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Mean Values ◽  
Follicle Diameter ◽  
Variance Ratios ◽  
The Difference ◽  
A Prospective Study

Abstract Background: The purpose of this study was to determine the comparability of follicle diameters measured using a pocket-size transabdominal ultrasound (TAUS) device that produces images for self-assessment versus those measured using a conventional transvaginal ultrasound (TVUS) device. The pocket-sized device is fitted with a probe that can be connected to an electronic tablet for patient use and outputs follicle images for patient review.Methods: A prospective study was performed in 25 women (50 follicles) who underwent in vitro fertilization (IVF)/intracytoplasmic sperm injection between November 2019 and March 2020 to treat infertility. Patients were first provided with guidance from a doctor; then, they used the probe attached to the pocket-sized TAUS device to acquire the follicle images. The doctor then measured the follicle diameter using a TVUS device and compared the measurements with those obtained by viewing the images taken by the patient. The transverse cross-sectional follicle diameter measured on transabdominal images was defined as the abdominal transverse (AT) diameter. The sagittal and coronal cross-sectional follicle diameters measured on transvaginal images were defined as the vaginal sagittal (VS) and vaginal coronal (VC) diameters, respectively. The mean values of each parameter and the variance ratio of the difference between the TAUS and TVUS measurements were evaluated.Results: The results showed that the difference between AT-VS in the two imaging types was -0.382 mm (95% CI: -1.097-0.333 mm, P=0.288), whereas the difference between AT-VC was 0.342 mm (95% CI: -0.345-1.029 mm, P=0.322), and that between VS-VC was 0.724 mm (95% CI: 0.152-1.296 mm, P=0.014). The variance ratios for the differences between the TAUS and TVUS measurements and for the differences between the two TVUS cross-sectional measurements were σAT-VS2/σVS-VC2=1.56 and σAT-VC2/σVS-VC2=1.44, respectively.Conclusion(s): Despite the presence of some differences in precision due to differences in the method of imaging when patients performed follicular self-measurement using pocket-sized devices, there was little scattering. Therefore, this method can be used to measure follicle diameter at a precision that presents no issues at the clinical level.Trial Registration: Medical Park Shonan (2019001, 25 October 2019)

scholarly journals Precision follicular self-measurement using a pocket-sized transabdominal ultrasound device

2020 ◽  
Author(s):  
Hiroaki Fujita ◽  
Iwaho Kikuchi ◽  
Satoshi Enomoto ◽  
Ryo Nakagawa ◽  
Reiko Kitayama ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Transabdominal Ultrasound ◽  
Clinical Trial Registration ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Mean Values ◽  
Follicle Diameter ◽  
Variance Ratios ◽  
The Difference

Abstract Background: The purpose of this study was to determine the comparability of follicle diameters measured using a pocket-size transabdominal ultrasound (TAUS) device that produces images for self-assessment versus those measured using a conventional transvaginal ultrasound (TVUS) device. The pocket-sized device is fitted with a probe that can be connected to an electronic tablet for patient use and outputs follicle images for patient review.Methods: A prospective study was performed in 25 women (50 follicles) who underwent in vitro fertilization (IVF)/intracytoplasmic sperm injection between November 2019 and March 2020 to treat infertility. Patients were first provided with guidance from a doctor; then, they used the probe attached to the pocket-sized TAUS device to acquire the follicle images. The doctor then measured the follicle diameter using a TVUS device and compared the measurements with those obtained by viewing the images taken by the patient. The transverse cross-sectional follicle diameter measured on transabdominal images was defined as the abdominal transverse (AT) diameter. The sagittal and coronal cross-sectional follicle diameters measured on transvaginal images were defined as the vaginal sagittal (VS) and vaginal coronal (VC) diameters, respectively. The mean values of each parameter and the variance ratio of the difference between the TAUS and TVUS measurements were evaluated.Results: The results showed that the difference between AT-VS in the two imaging types was -0.382 mm (95% CI: -1.097-0.333 mm, P=0.288), whereas the difference between AT-VC was 0.342 mm (95% CI: -0.345-1.029 mm, P=0.322), and that between VS-VC was 0.724 mm (95% CI: 0.152-1.296 mm, P=0.014). The variance ratios for the differences between the TAUS and TVUS measurements and for the differences between the two TVUS cross-sectional measurements were σAT-VS2/σVS-VC2=1.56 and σAT-VC2/σVS-VC2=1.44, respectively.Conclusion(s): Despite the presence of some differences in precision due to differences in the method of imaging when patients performed follicular self-measurement using pocket-sized devices, there was little scattering. Therefore, this method can be used to measure follicle diameter at a precision that presents no issues at the clinical level.Clinical Trial Registration Number: 2019001

scholarly journals A Two-year Cross-sectional Prospective Study for Assessment of Endometrial Thickness and Volume using Three-dimensional Transvaginal Ultrasound among in vitro Fertilization Patients of Royan Institute in Iran

2016 ◽  
Vol 10 (4) ◽  
pp. 398-402
Author(s):  
Firoozeh Ahmadi ◽  
Farnaz Akhbari ◽  
SH Irani ◽  
M Shiva ◽  
A Maghari
Keyword(s):  
In Vitro Fertilization ◽  
Prospective Study ◽  
Endometrial Thickness ◽  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Controlled Ovarian Hyperstimulation ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Group I

ABSTRACT Introduction To evaluate the role of endometrial thickness and volume using three-dimensional transvaginal ultrasound (3-D TVUS) in order to predict pregnancy outcome in assisted reproductive technology (ART) cycle on the day of human chorionic gonadotropin (hCG) administration. Materials and methods In this prospective study, the long protocol of controlled ovarian hyperstimulation was prescribed for women. Endometrial thickness and volume were measured using the 3-D TVUS, for 166 women undergoing ART cycle, on the day of hCG administration at Royan Institute, Tehran, Iran, between 2009 and 2011. All patients were divided into three groups. Regarding endometrial thickness, there are three groups as follows: Group I: . 7 mm, group II: 7.14 mm, and group III: > 14 mm; all patients were also divided into three groups according to endometrial volume calculated as follows: Group IV: < 2 cc, group V: 2.4.5 cc, group VI: > 4.5 cc. Pregnancy rate (PR) was compared between all groups. Results A total of 166 patients were analyzed. Overall PR was 39.8% after in vitro fertilization (IVF). Participant's age ranged from 20 to 38 years old with the mean age of 29.9 ± 4.23. No significant cut-off value was found for endometrial thickness and volume. Conclusion Endometrial thickness and volume on the day of hCG are significant in limited value and in a clinical setting for predicting implantation in ART cycle. How to cite this article Ahmadi F, Akhbari F, Irani SH, Shiva M, Maghari A. A Two-year Cross-sectional Prospective Study for Assessment of Endometrial Thickness and Volume using Threedimensional Transvaginal Ultrasound among in vitro Fertilization Patients of Royan Institute in Iran. Donald School J Ultrasound Obstet Gynecol 2016;10(4):398-402.

Midluteal Serum Estrogen and Progesterone Levels predict Pregnancy Rate in in vitro Fertilization/Intracytoplasmic Sperm Injection Cycles: A Prospective Study

2017 ◽  
Vol 8 (2) ◽  
pp. 50-53
Author(s):  
Kundavi Shankar ◽  
Shipra Nigam ◽  
Indumathi Joy ◽  
Thankam R Varma
Keyword(s):  
Prospective Study ◽  
Pregnancy Rate ◽  
Intracytoplasmic Sperm Injection ◽  
Luteal Phase ◽  
Transvaginal Ultrasound ◽  
Hormone Secretion ◽  
Assisted Reproduction Technique ◽  
Vitro Fertilization ◽  
A Prospective Study

ABSTRACT Introduction In assisted reproduction technique cycles, controlled ovarian stimulation (COS) leads to supraphysiological levels of steroid hormone secretion and the subsequent need for luteal phase support (LPS). Therefore, existing data on the steroid secretion profile in the luteal phase of spontaneous conception cycles and its predictive value for pregnancy outcome need to be discussed against the background of preceding COS. The clinical significance of luteal phase hormones, such as estrogen (E2) and progesterone (P4), in predicting pregnancy after controlled ovarian hyperstimulation protocols for in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) is still poorly understood. The aim of the present study was to investigate the role of midluteal serum E2 and P4 level in predicting successful pregnancy in patients undergoing IVF/ICSI. Materials and methods One hundred fifteen women were recruited for the study. They were given gonadotropin-releasing hormone antagonist protocol and human chorionic gonadotropin (hCG) was administered if at least three follicles were more than 18 mm in size. Transvaginal ultrasound-guided oocyte retrieval followed by ICSI and embryo transfer (ET) was done. Post-ET, all women had same LPS. The E2 and P4 measurements were done at day of ET (day 0) and 9 days post-ET (day 9). Levels of E2 and P4 were compared between those who subsequently became pregnant and those who could not achieve pregnancy. Statistical analysis was performed using Statistical Package for the Social Sciences. Results Forty-six (40%) achieved pregnancy. The E2 and P4 levels on day 9 were significantly higher in those who achieved pregnancy (p < 0.01). Out of 46 pregnancies, 38 were ongoing viable pregnancies. Conclusion Luteal phase E2 and P4 can be used as prognostic marker to predict pregnancy in IVF/ICSI cycles. How to cite this article Nigam S, Joy I, Shankar K, Varma TR. Midluteal Serum Estrogen and Progesterone Levels predict Pregnancy Rate in in vitro Fertilization/Intracytoplasmic Sperm Injection Cycles: A Prospective Study. Int J Infertil Fetal Med 2017;8(2):50-53.

scholarly journals Aspiration versus retention ultrasound-guided ethanol sclerotherapy for treating endometrioma: A retrospective cross-sectional study

2020 ◽  
Author(s):  
Abbas Aflatoonian ◽  
Nasim Tabibnejad
Keyword(s):  
Recurrence Rate ◽  
Transvaginal Ultrasound ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Ethanol Injection ◽  
Vitro Fertilization ◽  
Ethanol Sclerotherapy ◽  
Retention Group ◽  
Improve Pregnancy Outcome

Background: Endometrioma is a common high-recurrence gynecological disease that affects infertility. Surgical resection using laparotomy or laparoscopy is applied as a standard treatment. Moreover, sclerotherapy is reported to be effective as a noninvasive method for treating endometrioma. Objective: To evaluate whether the ethanol retention or aspiration after sclerotherapy improve pregnancy outcome in infertile women with endometrioma. Materials and Methods: In a retrospective study, hospital records of 43 women with recurrent or bilateral endometrioma who had been undergone transvaginal ultrasound sclerotherapy were reviewed. They were selected to receive either ethanol for 10 min, ethanol injection, irrigation, and then aspiration or total retention without aspiration based on the surgeon’s decision. The participants were followed-up for 3, 6 and 12 months for natural or artificial conception as well as for cyst recurrence. Results: Chemical pregnancy was positive in 52% of the women in the aspiration group and 53.8% in the retention group. Ongoing pregnancy (44% vs 46.2%, p = 0.584) and live birth (40% vs 46.2%, p = 0.490) were reported marginally higher in the retention group compared with the aspiration group, and the differences were not statistically significant. Moreover, the recurrence rate were found to be 48.1% and 37.5% in the aspiration and retention groups, respectively (p = 0.542). The cysts size in the retention group was significantly correlated to the recurrence rate. Conclusion: Both the aspiration and left in situ of ethanol 95% sclerotherapy have the similar impact on the treatment of ovarian endometrioma regarding pregnancy and recurrence rate. However, larger randomized studies with strict inclusion criteria are needed. Key words: Endometrioma, Ethanol, Sclerotherapy, In vitro fertilization, Pregnancy rate.

scholarly journals The Effect of Stress, Anxiety and Depression on In Vitro Fertilization Outcome in Kazakhstani Public Clinical Setting: A Cross-Sectional Study

2021 ◽  
Vol 10 (5) ◽  
pp. 937
Author(s):  
Gauri Bapayeva ◽  
Gulzhanat Aimagambetova ◽  
Alpamys Issanov ◽  
Sanja Terzic ◽  
Talshyn Ukybassova ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Depressed Mood ◽  
Depression Scale ◽  
Anxiety Scale ◽  
Clinical Depression ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Scale Scores ◽  
The Impact

Although it is clear that infertility leads to heightened stress for patients, the impact of depressed mood and anxiety on treatment outcome is inconsistently reported. The aim of this study was to evaluate the effect of stress, depression and anxiety on in vitro fertilization (IVF) outcomes in Kazakhstani public assisted reproductive technology (ART) clinics. The prospective cohort study was performed between June 2019 and September 2020 using questionnaires to assess psychological stress, depressed mood and anxiety in women referred to IVF clinics in two public clinical centers in Kazakhstan, Nur-Sultan and Aktobe. Our study sample comprised 142 women with the average age of 33.9 ± 4.9 years, and infertility duration 6.0 ± 3.5 years. More than half of respondents had Center for Epidemiological Studies Depression Scale (CES-D) scores higher than 16, indicating their risk of developing clinical depression. Ninety-one percent of women from Aktobe city were at risk for clinical depression (p < 0.001). Aktobe city respondents had higher stress subscale scores and anxiety scale scores (p < 0.001) than Nur-Sultan respondents. Statistical analysis showed that IVF outcome was not significantly associated with depression and stress, while the higher anxiety scale scores were negatively associated with clinical pregnancy after IVF.

Sign in / Sign up

Export Citation Format

Share Document