Follicle size by ultrasound versus cervical mucus quality: normal and abnormal patterns in spontaneous cycles

Daly DC, Reuter K, Cohen S, Mastroianni J

doi:10.1016/s0015-0282(16)60606-4

Follicle size by ultrasound versus cervical mucus quality: normal and abnormal patterns in spontaneous cycles

Steven M. Cohen, S Cohen, Karen L. Reuter, D C Daly, J Mastroianni

University of Massachusetts Chan Medical School ROR
University of Connecticut ROR

Fertility and Sterility, 51(4), 598-603

DOI 10.1016/s0015-0282(16)60606-4 PMID 2522397

Abstract

Ultrasound (US) has been demonstrated to be the method of choice for diagnosing luteinized unruptured follicle syndrome and to be a valuable adjuvant in the assessment of luteal phase defect. In this prospective study, the use of US with postcoital testing (PCT) is evaluated. Fifty control infertility patients were examined with serial US for follicle dynamics in conjunction with PCT. Standard curves for follicle dynamics versus cervical mucus quality (Insler score) were calculated. Eighteen patients referred for abnormal mucus underwent similar evaluation. Their follicle dynamics versus mucus quality were compared with those of the controls. The findings were: (1) there is a predictable relationship between follicle size and mucus quality, (2) the majority of patients with abnormal mucus have normal follicular dynamics, and (3) a minority of patients with abnormal mucus have either a narrow mucus window or abnormal follicular dynamics. In addition, US was found to be cost-effective in the overall fertility evaluation.

Topics

Menstrual Cycle > Ovulation Monitoring > Ultrasound Follicle Tracking Diagnostics > Cervical Mucus Assessment > Insler Score Infertility > Diagnostic Evaluation > Postcoital Testing

follicle size ultrasound cervical mucus quality spontaneous cycles, Insler score cervical mucus follicular dynamics relationship, postcoital testing ultrasound follicle monitoring infertility, luteinized unruptured follicle syndrome ultrasound diagnosis, abnormal cervical mucus normal follicular development, serial ultrasound follicle dynamics infertility evaluation, cervical mucus window timing ovulation prediction, Daly Reuter follicle ultrasound cervical mucus prospective study, cost-effective ultrasound fertility evaluation, follicular growth patterns cervical mucus correlation

PMID 2522397 2522397 DOI 10.1016/s0015-0282(16)60606-4 10.1016/s0015-0282(16)60606-4

Cite this article

Daly, D. C., Reuter, K. L., Cohen, S., & Mastroianni, J. (1989). Follicle size by ultrasound versus cervical mucus quality: normal and abnormal patterns in spontaneous cycles. *Fertility and sterility*, *51*(4), 598-603. https://doi.org/10.1016/s0015-0282(16)60606-4

Keywords

Cervix Mucus/cytology, Cost-Benefit Analysis, Female, Humans, Infertility, Female/diagnosis, Laparoscopy, Luteal Phase, Ovarian Follicle/pathology, Ultrasonography

Follicle size by ultrasound versus cervical mucus quality: normal and abnormal patterns in spontaneous cycles

Abstract

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Cite this article

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