Reproducibility of Endometrial Volume by VOCAL in the Prediction of Success Rate of IVF/ICSI in Women with Unexplained Infertility

<p><strong>Objective:</strong> To explore the role of estimating endometrial volume by Virtual Organ Computer-aided Analysis (VOCAL) and it's correlation with endometrial thickness, on the day of hCG, in prediction of IVF/ICSI success. </p><p><strong>Patients...

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Main Author: El-Shahawy Y (Author)
Format: Book
Published: Journal of Gynecological Research and Obstetrics - Peertechz Publications, 2016-03-08.
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Summary:<p><strong>Objective:</strong> To explore the role of estimating endometrial volume by Virtual Organ Computer-aided Analysis (VOCAL) and it's correlation with endometrial thickness, on the day of hCG, in prediction of IVF/ICSI success. </p><p><strong>Patients and Methods:</strong> It was a prospective study that was carried out at Al-Amin Maternity Hospital, Saudi Arabia. Endometrial thickness and volume were measured in women undergoing an IVF/ICSI cycle, on the day of HCG, using the 3D trans vaginal ultrasound probe. Women were divided as regards to endometrial volume calculated into 3 subgroups; < 3 ml, 3-5 ml, and >5 ml, also according to endometrial thickness into 3 groups; <7 mm, 7-12 mm and >12 mm. Success rate of IVF/ICSI was compared between all groups. </p><p><strong>Results:</strong> The current study included 150 consented women with no significant difference in clinicdemographic characteristics between all subgroups. The pregnancy rates between the three groups of endometrial volume; <3 ml, 3-5 ml, and >5 ml was; 28.6%, 29.9% and 25% respectively. Pregnancy rates between the three groups of endometrial thickness was 18.2%, 25.5% and 43.3% for <7 mm, 7-12 and >12 mm respectively. There was no significant difference in pregnancy rates between all groups in relation to both endometrial volume and endometrial thickness. </p><p><strong>Conclusions:</strong> Endometrial thickeness on day of hCG is a better predictor of success rate of IVF/ ICSI cycles than endometrial volume.</p>
DOI:10.17352/jgro.000009