Do Endometrial Movements Affect The Achievement of Pregnancy during Intrauterine Insemination?
نویسندگان
1 Department of Obstetrics and Gynecology, Institute of Wonkwang Medical Science, College of Medicine, Wonkwang University, Iksan, Korea
2 Department of Obstetrics and Gynecology, College of Medicine, Konkuk University, Seoul, Korea
3 4Department of Obstetrics and Gynecology, College of Medicine, Soon Chun Hyang University, Seoul, Korea
4 Department of Obstetrics and Gynecology, College of Medicine, Inje University, Busan, Korea
5 4Department of Obstetrics and Gynecology, College of Medicine, Soon Chun Hyang University, Seoul, Korea
6 5Department of Obstetrics and Gynecology, College of Medicine, Kosin University, Busan, Korea
doi
10.22074/ijfs.2015.4180چکیده
Background This study was aimed to assess the effect of endometrial movements on pregnancy achievement in intrauterine insemination (IUI) cycles. Materials and Methods The population of this observational study was composed of unexplained infertility couples undergoing first-time IUI with clomiphene citrate between September 2010 and October 2011. Not only endometrial movements, but also thickness, volume, pattern, and echogenic change of endometrium were analyzed prospectively in prediction of pregnancy. Results The total number of 241 cycles of IUI with 49 intrauterine pregnancies (20.3%) was analyzed. Pregnancy was not related to endometrial thickness and endometrial volume, but significantly related to endometrial movements associated with the number of contraction, strong movement, cervicofundal direction, and hyperechoic change (p < 0.05). Pregnant group showed higher cervicofundal movement rate (89.8 vs. 75.5%). Conclusion For IUI cycles stimulated by clomiphene citrate in unexplained infertility women, endometrial movements on the day of IUI could be a predictor of pregnancy.
