Transvaginal Color Doppler Analysis of Uterine Artery pre- and post- Copper Intrauterine Contraceptive Device (Cu-IUCD) Insertion to Predict Heavy Menstrual Bleeding

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Alaa Mohamed Attia ◽  
Hend saleh ◽  
Yousef Abo Elwan ◽  
Mohammed El Husseny Radwan
Keyword(s):  
Uterine Artery ◽  
Color Doppler ◽  
Heavy Menstrual Bleeding ◽  
Intrauterine Contraceptive Device ◽  
Menstrual Bleeding ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Doppler Analysis

scholarly journals Doppler ultrasound for prediction of IUCD-induced heavy menstrual bleeding: a prospective cohort study

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed S. Sweed ◽  
Khaled H. Swidan ◽  
Naira S. Ibrahim ◽  
Eman A. NasrElDin ◽  
Ihab A. Gomaa
Keyword(s):  
Power Doppler ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
Flow Index ◽  
Contraceptive Device ◽  
Subsequent Increase ◽  
Diagnostic Characteristics ◽  
Intrauterine Contraceptive ◽  
Group A ◽  
Group B

Abstract Background Previous studies reported changes in the local vasoactive substance production within the endometrium with a subsequent increase in vascularity as a possible mechanism of intrauterine contraceptive device (IUCD)-induced heavy menstrual bleeding. This research investigates the role of power Doppler velocimetries of the uterine arteries, endometrium, and sub-endometrium vascularization as a predictor of IUCD-induced heavy menstrual bleeding. Results Endometrium flow index (FI) and vascularization flow index (VFI) significantly increased in both groups: women with heavy menstrual bleeding (group A) and women without heavy menstrual bleeding (group B), with significantly higher increase in group A. Endometrium VFI ≥ 0.18 had the highest significant diagnostic characteristics in the prediction of heavy menstrual bleeding, followed by sub-endometrium VI ≥ 3.75. Conclusion The results of this study suggest an increase in uterine blood flow in women with IUCD-induced menorrhagia. Endometrial and sub-endometrial Doppler vascular indices can be used for the prediction of IUCD-induced heavy menstrual bleeding.

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