doiSerbia

Color Doppler imaging and measurements of intraovarian and intrauterine vascularization on basal ultrasound examination in spontaneous ovulatory and anovulatory cycles

Kutlešić Ranko (Klinički centar, Ginekološko akušerska klinika, Niš)
Milosavljević Mileva (Klinički centar, Ginekološko akušerska klinika, Niš)
Vukomanović Predrag (Klinički centar, Ginekološko akušerska klinika, Niš)
Stefanović Milan (Klinički centar, Ginekološko akušerska klinika, Niš)

Background/Aim. Any organs functioning directly depends on vascularization. It applies also to the uterus and ovary which go through changes of vascularization during a menstruation cycle. The aim of this investigation was to determine differences in intrauterine and ovarian stromal arterioral blood flow on basal ultrasound examination (day 2-4) between spontaneous ovulatory and anovulatory cycles. Methods. This prospective clinical investigation included 205 patients divided into two groups: with ovulatory and with anovulatory cycles. Results. Resistance to ovarian arterioral stromal blood flow was significantly lower in the patients with ovulatory cycles (pulsatile index - PI 0.97 ± 0.4 vs 1.93 ± 1.37; p = 0.001737; and (resistance index - RI 0.55 ± 0.12 vs 0.68 ± 0.14; p = 0.040033). There were no statistically significant differences in arcuate arterioral blood flow in the pateints with ovulatory and anovulatory cycles (PI 1.21 ± 0.34 vs 61 ± 0,61 p = 0.136161 and RI 0.64 ± 0.11 vs 0.74 ± 0.07; p = 0.136649). The patients with ovulatory cycles had lower uterine radial arterioral blood flow than the patients with anovulatory cycles (PI 1.001 ± 0.22 vs 1.61 ± 0.23 p = 0.007501 and RI 0.55 ± 0.08 vs 0.71 ± 0.12; p = 0,0460113). The patients with ovulatory cycles had lower subendometrial arterioral blood flow resistance (PI 0.69 ± 0.19 vs 1.385±0.09; p = 0.00622 and RI 0.44 ± 0.09 vs 0.65 ± 0.02; p = 0.027458). Conclusion. Color Doppler ultrasuond imaging and measurements of intrauterine and ovarian stromal arterioral blood flow on basal ultrasound examination (day 2-4), showed lower resistance to blood flow in ovulatory than in anovulatory cycles.

Keywords: ultrasonography, Doppler, color, uterus, ovary, blood flow velocity, ovulation