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2007, Number 1

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Rev Fac Med UNAM 2007; 50 (1)

Endometrial thickness in the prognosis of artificial insemination

Góngora RA
Full text How to cite this article

Language: Spanish
References: 7
Page: 10-13
PDF size: 68.51 Kb.


Key words:

Artificial insemination, endometrium, homologous, heterologous.

ABSTRACT

Objective: The present work pretends to demonstrate the importance of the endometrium in the embryonic implantation and, as a consequence, elevate the pregnancy rates. Material and methods: In the Human Fertility Center were studied 56 patients between January and June 2004, manipulating a total of 98 cycles, with different procedures of low complexity (intrauterine insemination). The first group of patients (n = 26) with a donor sperm (heterologus). The second group, 18 patients with homologus intrauterine insemination (spouse or partner). The third one, didn’t need an assisted procedure, only programmed coitus, in 12 patients. Results: For the first group of 26 patients, treated during 45 cycles with a successful rate of 11.11%; for the second group intrauterine insemination with a previously capacitated sperm (homologus insemination), 18 cases with 24 stimulation cycles, pregnancy rate was of 4.16%; on the last group there were treated 12 patients with 18 stimulation cycles, obtaining results rates of 11.11%. Discussion: The endometrial measure is fundamental; as the pregnancy rate has a direct relation with the endometrial thickness; in achieved pregnancies, the endometrium was deeper than 11 mm.


REFERENCES

  1. Noyes RW, Hertig AT, Rock J. Dating the endometrial biopsy. Fertil Steril 1950; 1: 3-25.

  2. Hirano T, Higuchi T, Katsuragawa H, Inoue T, Kataoka N, Rim Park K. CD9 is involved in invasion of human trophoblast-like choriocarcinoma cell line, BeWo cells. Mol Hum Reprod 1999; 5(2): 168-174.

  3. Liu HC, Jones GS, Jones HWJ, Rosenwaks Z. Mechanisms and factors of early pregnancy wastage in in-vitro fertilization embryo transfer patients. Fertil Steril 1988; 50: 95-101.

  4. Van Santbrink EJ, Donderwinkel PF, Van Dessel TJ, Fauser BC. Gonadotrophin induction of ovulation using a step-dpwn regimen: single-centre clinical experience in 82 patients. Hum Reprod 1995; 10: 1048-1053.

  5. Góngora A. Inseminación intrauterina y donación espermática. Alternativa ante la esterilidad de origen masculino. Rev Hospital Juárez de México 2003; 70(2): 58-60.

  6. Fuh KW. Intrauterine insemination: effect of the temporal relationship between the luteinizing hormone surge, human chorionic gonadotrophin administration and insemination on pregnancy rates. Hum Reprod 1997; 12: 2162-2166.

  7. Góngora A, Miranda JA. Diagnóstico etiológico de la pareja infértil. Revista Médica del Hospital de la Mujer 2004; 1: 8-11.




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C?MO CITAR (Vancouver)

Rev Fac Med UNAM . 2007;50