Ain Shams University, Egypt
Title: Sub-endometrial blood flow changes by three-dimensional power Doppler ultrasound after hysteronscopic lysis of severe intrauterine adhesions: Preliminary study
Biography: Mohamed Ibrahim Mohamed Amer
Objective: To evaluate the changes in sub-endometrial blood flow and endometrial volume after hysteroscopic lysis of severe intrauterine adhesions (IUAs). Design: A pilot observational study. Forty infertile women with severe IUAs served as their own controls and were included in this study only once, to avoid selection bias. Intervention: Three-dimensional power Doppler ultrasound was performed in all patients 1 day before hysteroscopic lysis of severe IUA and repeated 1 month later, to assess sub-endometrial blood flow [as measured by vascularization index (VI), flow index (FI), and vascularization flow index (VFI)] and endometrial volume. Main outcome measures were sub-endometrial blood flow (VI, FI,VFI) and endometrial volume. Results: There were statistically significant postoperative increases in endometrial volume, VI, FI, and VFI. Sub-endometrial blood flow improved in 14 women (35%) and menstrual improvement occurred in 15 women (37.5%). Conclusion: Hysteroscopic lysis of severe IUAs improves sub-endometrial blood flow, with subsequent increases in endometrial volume.