A prospective study to assess the role of endometrial volume in predicting the pregnancy rates in women undergoing intrauterine insemination at A.R.C at K.L.E.S Prabhakar Kore Hospital & MRC, Belgaum

Abstract

Objective: To assess the role of endometrial volume in predicting the outcome of pregnancy in women undergoing intrauterine insemination. Study Design: Setting: A Prospective study. At A.R.C., K.L.E.S. Prabhakar Kore Hospital and Medical Research Centre, Belgaum Sample Size: Method: 207 women were included in the study, and they fulfilled the inclusion criteria for the study. The ovulation induction was done as per the protocol, and using Trans vaginal sonography the endometrial parameters were noted on the day of IUI. Outcome Measures: Endometrial volume, thickness & pattern were noted. X Results: Endometrial volume, analyzed isolated had no statistical significance. On the contrary endometrial thickness and pattern, when analyzed independently, had a statistical significance for endometrial thickness in range of 9-9.9 mm and trilaminar pattern ( p value <0.05) . On combining trilaminarity with endometrial thickness of 9-9.9 mm and volume of 2-2.9 ml, results were significant, p value <0.001 in both the cases. When endometrial volume was taken with endometrial thickness, the results were significant i.e. endometrial volume in the range of 2-2.9 ml with thickness of 8-9.9 mm and endometrial volume ≥ 3 ml with the thickness 9 -9.9 mm had statistical significance with p value <0.05. Conclusion: Endometrial volume analyzed isolated had no statistical significance. Combination of endometrial thickness of 9 to 9.9 mm, trilaminar endometrial pattern and volume of 2 to 2.9 ml is a better predictor of pregnancy outcome than either of these factors alone