Endometrial ultrasonography using vaginal probe

ABSTRACT

One hundred and twenty regular menstruation females complaining of infertility have been selected for the study. Vaginal ultrasonography was done twice weekly for all attendants, endometrial biopsy was taken at day 7, 14, 21 and 26 of the cycle using Shermman's Curette. Cases were divided into four groups according to the time of endometrial biopsy to correlate with ultrasound finding. In the first group, the endometrium appears as highly echogenic lumen, echo bisecting the myometrial echoes and the endometrium thickness was 6.4, the endometrium appears highly echogenic and between the two echoes an area of hypoechogenicity. In the third group, the endometrium thickness increased to 8.4 mm and the echopattern has been changed into highly continued echoes. In the fourth group, the same pattern of the third group but it became more echogenic. Study endometrial thickness and morphology by vaginal ultrasonography correlate with endometrial histology under the effect of serum estrogen and progesterone. Endometrial ultrasonography is a new technique in the field of infertility and it can substitute dilatation and curettage operation