Dopplersonographie in der Resproduktionsmedizin

In: Dopplersonographie in Geburtshilfe und Gynäkologie · 2007 · pp. 289–301 · doi:10.1007/978-3-540-72371-4_28 · W2170955909
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This paper discusses the multifactorial causes of infertility, including andrological and unexplained factors, and the prevalence of dual-partner infertility.

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This paper/chapter reviews Doppler sonography in reproductive medicine, focusing on how transvaginal color and pulsed Doppler assessment of uterine and ovarian blood flow can be used in infertility contexts, including ovulation cycles and IVF/embryo-transfer programs. It summarizes the broad multifactorial causes of infertility and describes prior studies relating vascular resistance, blood-flow profiles, endometrial thickness/vascularity, and doppler-derived parameters to measures such as implantation and pregnancy outcomes. A key caveat emphasized across this literature is that evidence and predictive value can vary, and comparisons such as correlations between imaging findings and histologic endometrial staging have shown lack of correlation in some reports. Relevance to endometriosis: the excerpt frames infertility etiologies as including uterine causes and “extragenital endokrine” and immunologic/genetic factors, but it does not explicitly discuss endometriosis or adenomyosis as targets for Doppler findings within the provided text.

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Auszug Der unerfüllte Kinderwunsch betrifft ungefähr 10–15% aller Partnerschaften. Die Ursachen sind häufig multifaktoriell bedingt: Neben primär ovariellen, hypothalamisch-hypophysären, extragenital endokrinen, psychogenen, immunologischen, genetischen, tubaren, uterinen, zervikalen und vaginalen Sterilitätsursachen fallen zahlenmäßig zunehmend andrologische und nicht abklärbare Faktoren (»idiopathische Sterilität«) ins Gewicht. In 30% der Fälle liegen Sterilitätsursachen bei beiden Partnern vor. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur Aytoz A, Ubaldi F, Tournaye H, Zolst P, Van Steirtghem A, Devroey P (1997) The predictive value of uterine artery blood flow measurements for uterine receptivity in an intracytoplasmic sperm injection program. Fertil Steril 68:935–937 Battaglia C, Larocca E, Lanzani A, Valentini M, Ganazzani AR (1990) Doppler ultrasound studies of the uterine arteries in spontaneous and IVF stimulated cycles. Gynecol Endocrinol 4:245–250 Bloechle M, Schreiner TH, Küchler I, Schürenkämper P, Lisse K (1997) Colour Doppler assessment of ascendent uterine artery perfusion in an in-vitro ferilization-embryo transfer programme after pituitary desensation and ovarian stimulation with human recombinant follicle stimulating hormone. Hum Reprod 12:1772–1777 Bourne TH (1991)Transvaginal color Doppler in gynecology. Ultrasound Obstet. Gynecol 1:309–312 Bourne TH, Hagström HG, Hahlin M, Josefsson B, Granberg S, Hellberg P et al. (1996) Ultrasound studies of vascular and morphologic changes in the human corpus luteum during the menstrual cycle. Fertil Steril 65:753–758 Cacciatore B, Simberg N, Fusaro P, Tiitinen A (1996) Transvaginal Doppler study of uterine artery blood flow in in vitro fertilisation-embryo transfer cycles. Fertil Steril 66:130–134 Chien LW, Lee WS, Tzeng CR (2004) Assessment of changes in uteroovarian arterial impedance during the peri-implantation period by Doppler sonography in women undergoing assisted reproduction. Ultrasound Obstet Gyncecol 23:496–500 Cornet D, Giacomini P, Pereira-Coelho A, Salat-Baroux J (1986) Etude échographique de l’épaisseur de l’endomètre au cours des cycles spontanés et stimulés: applications à la fécondation in vitro. J Gynecol Obstet. Biol Reprod 15: 621–625 Coulam CB, Goodman C, Rinehart JS (1999) Colour Doppler indices of follicular blood flow as predictors of pregnancy after in-vitro fertilization and embryo transfer. 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Harwood Academic Publishers, London Vlaisavljevi V, Reljic M, Gavri Lovrec V, Zazula D, Sergent N (2003) Measurement of perifollicular blood flow of the dominant preovulatory follicle using three-dimensional power Doppler. Ultrasound Obstet Gynecol 22:520–526 Wentz A (1980) Endometrial biopsy in the evaluation of infertility. Fertil Steril 33:121–124 Zaidi J, Barber J, Kyei-Mensah A, Bekir J, Campbell S, Tan SL (1996) Relationship of ovarian stromal blood flow at the baseline ultrasound scan to subsequent follicular resonse in an In Vitro Fertilisation Programm. Obstet Gynecol 88:779–784 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2008 Springer Medizin Verlag Heidelberg About this chapter Cite this chapter Grab, D. (2008). Dopplersonographie in der Resproduktionsmedizin. In: Steiner, H., Schneider, KT.M. (eds) Dopplersonographie in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72371-4_28 Download citation DOI: https://doi.org/10.1007/978-3-540-72371-4_28 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-72370-7 Online ISBN: 978-3-540-72371-4 eBook Packages: Medicine (German Language)

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