ABSTRACT
Study of endometrial thickness is central to the monitoring of ovulation in in vitro fecondation [IVF]. Actually, failures of in vitro fecundation are mainly due to implantation failure of embryo. To assess whether the endometrial thickness the day of the induction of ovulation influences or not the result of the IVF attempt. To determine the endometrial thickness for which the chances of pregnancy are the highest. To determine if there is any effect of the stimulation protocol or the gonadotrophin on the endometrial thickness. A retrospective study at the Reproductive Medicine-Unit of Farhat Hached teaching hospital, Sousse -Tunisia, concerning all the cases of IVF conducted the year 2008. A total of 414 cycles of IVF were studied. The rate of pregnancies in our series was 23%. There was not statistically significant relation-ship between the women's-age and the endometrial thickness; nor between the rate of the ?stradiol before the IVF trial and the endometrial thickness. The endometrial thickness after ovarian stimulation was significantly linked to the rate of FSH before the IVF attempt [P = 0.01]. The total rate of pregnancies was significantly linked to the endometrial thickness before the ovulation induction [P = 0.02]. The best rate of pregnancy was reached with an endometrial thickness >12 mm [43%] and the chances of success in that case were roughly 3 times higher than if the endometrial thickness was
ABSTRACT
Discuss the clinical aspects and the management of pcrigenital hematoina, a rare complication of delivery that can engage the vital prognosis. We report 4 cases of pen-genital hematomax recorded in the department C of obstetrics and gynecology, in the maternity center of Tunis. In two cases, the patients had only medical treatment and in the two others arterial embolisation was performed. The diagnosis is evoked in front of an unexplained hemorrhagic choc with perineal pain. Upon diagnosis, the patient must be rapidly managed associating resuscitation, surgcry and angiographic embotisation