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The assessment of normal and abnormal luteal function by transvaginal color Doppler sonography

Kupesic S et al., 1997

European journal of obstetrics, gynecology, and reproductive biology, 72(1), 83-87

DOI 10.1016/s0301-2115(96)02666-8 PMID 9076427 Source

Abstract

Objective

To evaluate intraovarian resistance index (RI) in 47 healthy fertile volunteers with ovulatory cycles, 28 patients with luteal phase defect (LPD) and four patients with luteinized unruptured follicle (LUF Sy).

Study design

Transvaginal color Doppler assessment of the follicular and corpus luteum blood flow and plasma progesterone (P) levels were obtained in each patient.

Results

Significantly higher intraovarian artery RI (< 0.001) was obtained for LPD group than for controls during the luteal phase. In the control group both follicular and corpus luteum RI were significantly lower (P < 0.001) on the dominant side, while in LPD group no difference (P > 0.05) between the sides occurred. Mean P levels were significantly lower (P < 0.001) in the LPD group (6.9 +/- 2.3 ng/ml) than in controls (24.1 +/- 11.4 ng/ml). In all the LPD patients histopathology revealed delayed endometrial pattern, while normal endometrial dating was found in all the evaluated patients form the control group (n = 15). In the patients with LUF Sy (n = 4) similar RI values were obtained in the follicular and corpus luteum phase. There was no difference between the sides in terms of the intraovarian RI, while subnormal values of P were obtained in all the examined patients (14.1 +/- 6.2 ng/ml).

Conclusions

Transvaginal color Doppler may predict the function capacity of the corpus luteum.

Topics

Menstrual Cycle > Physiology > Luteal PhaseReproductive Endocrinology > Luteal Phase > DeficiencyDiagnostics > Ultrasound > Follicular MonitoringReproductive Endocrinology > Progesterone > Assays
luteal phase defect doppler ultrasound, corpus luteum blood flow assessment, transvaginal color doppler luteal function, luteinized unruptured follicle diagnosis, resistance index luteal phase, progesterone levels doppler correlation, luf syndrome ultrasound diagnosis, ovarian artery resistance luteal phase, corpus luteum vascular assessment, luteal phase defect ultrasound markers, endometrial dating luteal function, follicular blood flow ovulation

Cite this article

Kupesic, S., & Kurjak, A. (1997). The assessment of normal and abnormal luteal function by transvaginal color Doppler sonography. *European journal of obstetrics, gynecology, and reproductive biology*, *72*(1), 83-87. https://doi.org/10.1016/s0301-2115(96)02666-8

Keywords

Corpus Luteum, Female, Humans, Luteal Phase, Ovarian Diseases, Ovarian Follicle, Progesterone, Ultrasonography, Doppler, Color, Vagina, Vascular Resistance

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