Pathophysiologic features of “thin” endometrium

In: Fertility and Sterility · 2008 · vol. 91(4) , pp. 998–1004 · doi:10.1016/j.fertnstert.2008.01.029 · PMID:18328483 · W2022950254
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This paper investigates the underlying causes and characteristics of the "thin" endometrium, a condition affecting female fertility.

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Abstract

ObjectiveTo characterize pathophysiologic features of a "thin" endometrium.DesignA prospective observational study.SettingUniversity Hospital and City General Hospital.Patient(s)Patients with normal-thickness endometrium (Normal-Em group: endometrial thickness >or=8 mm; n = 57) and thin endometrium (Thin-Em group: endometrial thickness <8 mm; n = 17).Main outcome measure(s)Blood flow impedance of the uterine radial artery (RA) was assessed as resistance index (RI) by transvaginal color-pulsed Doppler ultrasonography. The area of glandular epithelium, the number of blood vessels, and vascular endothelial growth factor (VEGF) expression were examined in the midluteal-phase endometrium.Result(s)The RA-RI in the Thin-Em group was significantly higher than in the Normal-Em group throughout the menstrual cycle. Endometrial thickness was significantly correlated with RA-RI. Growth of glandular epithelium, the number of blood vessels, and VEGF expression were significantly lower in the Thin-Em group than in the Normal-Em group.Conclusion(s)A "thin" endometrium was characterized by high blood flow impedance of RA, poor epithelial growth, decreased VEGF expression, and poor vascular development.

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