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Appropriate timing of uterine cavity length measurement positively affects assisted reproduction cycle outcome
Authors:Tahereh Madani  Mahnaz Ashrafi  Akram Bahman Abadi  Kiandokht Kiani
Affiliation:1. Edocrinology and Female Infertility Department, Reproductive Medicine Research Centre, Royan Institute, ACECR, Tehran, Iran;2. Faculty of Medicine, Iran University of Medical Science, Tehran, Iran;1. Department of Pharmacology, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos, Idi-Araba, P.M.B. 12003, Lagos, Nigeria;2. Department of Pharmacology, Faculty of Basic Medical Sciences, Lagos State University College of Medicine, 1-5 Oba Akinjobi Way, G.R.A. Ikeja, Lagos, Nigeria;1. Reproductive Medical Center, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, People''s Republic of China;2. Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, People''s Republic of China;1. Faculty of Medicine, Department of Obstetrics and Gynecology, Taif University, Taif, Saudi Arabia;2. Faculty of Medicine, Department of Obstetrics and Gynecology, Suez Canal University, Ismailia, Egypt;3. Faculty of Medicine, Department of Medical Biochemistry, Minia University, Minia, Egypt;4. Faculty of medicine, Taif university, Saudi Arabia;1. Department of Reproductive Medicine, Dexeus University Hospital, Barcelona, Spain;2. Faculty of Medicine and Pharmacy, Department of Surgical and Clinical Science, Vrije Universiteit Brussel, Brussels, Belgium;3. Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark;4. Center for Reproductive Medicine, UZ Brussel, Brussels, Belgium;5. Department of Reproductive Medicine, University of Liège, Liège, Belgium;6. CleanicData, Leuven, Belgium;7. Instituto Valenciano de Infertilidad, IVI-RMA Roma, Rome, Italy;8. Department of Obstetrics, Gynaecology and Reproductive Medicine, Santa Maria University Hospital, Lisbon, Portugal;9. Instituto Valenciano de Infertilidad, IVI-RMA Valencia, Valencia, Spain;10. Instituto Valenciano de Infertilidad, IVI-RMA Madrid, Madrid, Spain;11. Rey Juan Carlos University, Madrid, Spain
Abstract:An appropriate and easy embryo transfer has a direct impact on pregnancy rates. Proper evaluation of the uterocervical axis and uterine depth are necessary for suitable embryo transfer. The aim of this study was to assess the appropriate time for cervical axis evaluation and uterine measurement. A total of 124 patients undergoing IVF treatment were included in the study. They were divided equally into two groups. In group I (62 women), uterine cavity depth was measured and the uterocervical axis was determined on day 2 or 3 of the menstrual cycle, and in group II (62 women) at the time of oocyte retrieval. There was a statistically significant difference in clinical pregnancy rates between the two groups (P = 0.006). Thirty-four women became pregnant in group I (64.2%) versus 19 women in group II (35.8%). In conclusion, uterine cavity measurement is necessary for suitable embryo transfer. It seems that the time of measurement significantly affects clinical pregnancy rate in IVF cycles. The best time for uterine measurement is on day 2 or 3 of menstruation.
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