ASSOCIATION BETWEEN OVARIAN RESERVE AND ULTRASOUND-DOPPLER PARAMETERS IN ENDOMETRIOSIS-ASSOCIATED INFERTILITY

H.B. Sattaraliyeva, D.B. Mo’minova
In: Journal of modern medicine · 2026 · vol. 14(3) , pp. 992–996 · doi:10.67519/nshr.ztj.2026.03.142 · W7211929582
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This planned study investigates the relationship between ovarian reserve markers, endometrioma characteristics, and ultrasound-Doppler parameters to identify predictors of reduced reproductive potential in women with endometriosis-associated infertility.

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This planned study aims to investigate the relationship between ovarian reserve markers, specifically serum anti-Müllerian hormone levels and antral follicle count, and ultrasound-Doppler characteristics in women with endometriosis-associated infertility. The methodology involves assessing clinical features, endometrioma size and localization, and vascular resistance parameters such as the resistance index and pulsatility index using transvaginal ultrasonography. The researchers expect to identify associations between these morphological and hemodynamic factors to develop criteria for stratifying reproductive risk. This paper is centrally about endometriosis — specifically evaluating how endometrioma characteristics correlate with ovarian reserve and blood flow in infertile patients.

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Abstract

Background. Endometriosis is a chronic gynecological disease that is frequently associated with infertility in women of reproductive age. Ovarian endometriosis, particularly endometriomas, may affect ovarian tissue and follicular function and may therefore be associated with a reduction in ovarian reserve. Serum anti-Müllerian hormone (AMH) levels and antral follicle count (AFC) are widely used markers for assessing ovarian reserve. According to current recommendations, transvaginal ultrasonography is an important imaging modality for the diagnosis and assessment of endometriosis, while a comprehensive evaluation of clinical and ultrasound parameters may provide a more accurate assessment of reproductive potential [1,2]. However, the relationship between the morphological characteristics of endometriomas, ovarian reserve markers, and Doppler-derived blood-flow parameters remains insufficiently characterized. Objective. To investigate the relationship between ovarian reserve parameters, including serum AMH levels and antral follicle count, and ultrasound-Doppler characteristics of the ovaries and endometrium in women with endometriosis-associated infertility, and to evaluate their potential role in assessing reproductive potential. Materials and Methods. The study is planned to include women of reproductive age with endometriosis-associated infertility. Clinical and anamnestic characteristics, the stage of endometriosis, the presence of ovarian endometrioma, its size and localization, and unilateral or bilateral ovarian involvement will be assessed. Ovarian reserve will be evaluated based on serum AMH levels and the number of antral follicles determined by transvaginal ultrasonography. Doppler assessment will include vascular resistance and blood-flow parameters, including the resistance index (RI), pulsatility index (PI), peak systolic velocity (PSV), and end-diastolic velocity (EDV). Endometrial thickness and morphology, as well as endometrial and subendometrial vascularization, will also be evaluated. The obtained data will be analyzed using correlation and multivariable statistical methods. Expected Results. The study is expected to determine the relationships between endometrioma characteristics, ovarian reserve parameters, and ultrasound-Doppler findings. Particular attention will be given to the associations of AMH levels and AFC with endometrioma size, unilateral or bilateral localization, ovarian morphometric characteristics, and blood-flow parameters. A comprehensive assessment of these parameters may allow the identification of potential predictors of reduced reproductive potential and the development of criteria for stratifying patients according to reproductive risk. Conclusion. Comprehensive assessment of ovarian reserve, morphological characteristics of endometriomas, and ultrasound-Doppler parameters of the ovaries and endometrium may contribute to a more objective evaluation of reproductive potential in women with endometriosis-associated infertility. Identification of clinically relevant associations between these parameters may provide a basis for developing an individualized prognostic algorithm and optimizing reproductive management in this patient population.
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Abstract

Keywords Metrics & attention Related articles MORPHOLOGICAL DYNAMICS OF THE BILIARY TRACT IN EXPERIMENTAL GALLSTONE DISEASE EVALUATION OF THE EFFECTIVENESS OF IMPROVED MINIMALLY INVASIVE COMPLEX SURGICAL METHODS IN THE TREATMENT OF LIVER ABSCESSES MORPHOLOGICAL AND MORPHOMETRIC CHANGES IN THE ADRENAL GLAND UNDER THE INFLUENCE OF MYCOBACTERIA: AN AGE-DEPENDENT EXPERIMENTAL STUDY BREASTFEEDING AND BREAST CANCER AWARENESS AMONG YOUNG MOTHERS IN UZBEKISTAN:A PILOT STUDY Original research Journal of modern medicine, Vol. 14, No. 3 (2026) - Sattaraliyeva H.B.✉ - Mo’minova D.B. Received: September 4, 2026Accepted: September 4, 2026Published: September 8, 2026 Background. Endometriosis is a chronic gynecological disease that is frequently associated with infertility in women of reproductive age. Ovarian endometriosis, particularly endometriomas, may affect ovarian tissue and follicular function and may therefore be associated with a reduction in ovarian reserve. Serum anti-Müllerian hormone (AMH) levels and antral follicle count (AFC) are widely used markers for assessing ovarian reserve. According to current recommendations, transvaginal ultrasonography is an important imaging modality for the diagnosis and assessment of endometriosis, while a comprehensive evaluation of clinical and ultrasound parameters may provide a more accurate assessment of reproductive potential [1,2]. However, the relationship between the morphological characteristics of endometriomas, ovarian reserve markers, and Doppler-derived blood-flow parameters remains insufficiently characterized. Objective. To investigate the relationship between ovarian reserve parameters, including serum AMH levels and antral follicle count, and ultrasound-Doppler characteristics of the ovaries and endometrium in women with endometriosis-associated infertility, and to evaluate their potential role in assessing reproductive potential.

Materials

and Methods. The study is planned to include women of reproductive age with endometriosis-associated infertility. Clinical and anamnestic characteristics, the stage of endometriosis, the presence of ovarian endometrioma, its size and localization, and unilateral or bilateral ovarian involvement will be assessed. Ovarian reserve will be evaluated based on serum AMH levels and the number of antral follicles determined by transvaginal ultrasonography. Doppler assessment will include vascular resistance and blood-flow parameters, including the resistance index (RI), pulsatility index (PI), peak systolic velocity (PSV), and end-diastolic velocity (EDV). Endometrial thickness and morphology, as well as endometrial and subendometrial vascularization, will also be evaluated. The obtained data will be analyzed using correlation and multivariable statistical methods. Expected Results. The study is expected to determine the relationships between endometrioma characteristics, ovarian reserve parameters, and ultrasound-Doppler findings. Particular attention will be given to the associations of AMH levels and AFC with endometrioma size, unilateral or bilateral localization, ovarian morphometric characteristics, and blood-flow parameters. A comprehensive assessment of these parameters may allow the identification of potential predictors of reduced reproductive potential and the development of criteria for stratifying patients according to reproductive risk. Conclusion. Comprehensive assessment of ovarian reserve, morphological characteristics of endometriomas, and ultrasound-Doppler parameters of the ovaries and endometrium may contribute to a more objective evaluation of reproductive potential in women with endometriosis-associated infertility. Identification of clinically relevant associations between these parameters may provide a basis for developing an individualized prognostic algorithm and optimizing reproductive management in this patient population. - endometriosis, endometrioma, infertility, ovarian reserve, anti-Müllerian hormone, AMH, antral follicle count, AFC, transvaginal ultrasonography, Doppler ultrasound, ovarian blood flow, endometrium, reproductive potential, prognostic algorithm. 3 views · 10 downloads · pp. 992–996 Mamasaidov ., Madraximova N. September 8, 2026pp. 963–968DOI2 views13 downloads Matmuratov ., Pulatov U., Atajonov ., Yorkulov ., Yakhshiboev . September 8, 2026pp. 1009–1016DOI7 views12 downloads Sanoyev B. September 8, 2026pp. 1032–1039DOI3 views15 downloads Mukumova ., Turayeva . September 8, 2026pp. 958–962DOI3 views16 downloads

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