Original Research Article
Year: 2017 | Month: December | Volume: 4 | Issue: 12 | Pages: 22-28
Assessment and Correlation of Endometrial Biopsy, III Day Serum Luteinizing Hormone, Ovarian and Endometrial Ultrasonography Findings in Infertile Women
Seema Balasubramaniam1, Dr. Vishrabdha R. Pawar2, Dr. Vidya Jadhav3
1Intern, MBBS, Bharati Vidyapeeth Medical College and Hospital, Sangli.
2Professor of Pathology, Department of Pathology, Bharati Vidyapeeth Medical College and Hospital, Sangli.
3Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Bharati Vidyapeeth Medical College and Hospital, Sangli.
Corresponding Author: Dr. Vishrabdha R. Pawar
ABSTRACT
Ovulatory defects are found in 40% of infertile women in about 15% of the infertile couples. This requires a thorough history and proper evaluation of ovulatory functions.
Aims: to study the LH levels between 3rd-5th menstrual day, endometrial dating in premenstrual period along with follicular growth monitoring done on ultrasonography.
Methods: Blood sample evaluation between 3rd-5th menstrual day was done to monitor the LH levels. Endometrial thickness and follicular growth monitoring were monitored daily from 9th menstrual day onwards. Also, on LH+6, LH+10, endometrial biopsy was taken with the Pipelle suction catheter. The findings were then correlated.
Conclusion: There is an increased rate of primary infertility in women in age group 25- 40 years. Majority of these were cases of Polycystic ovarian syndrome with increased BMI and increased LH with increased endometrial thickness. Also we found 63.4% of cases with predominant hormonal imbalance, they were consistent with the findings if endometrial dating.
Key words: female infertility, ovulatory defects.
[PDF Full Text]