Abstract

ASSESSMENT OF ENDOMETRIAL THICKNESS BY, ULTRASONOGRAPHIC AND EFFECT OF SERUM VITAMIN D LEVEL ON OVULATION

*Dr. Ilham Neamah Oleiwi, Dr. Sundus Karam Ali Hshem and Dr. Dijla Abdulkareem Khazraji

ABSTRACT

Measurement of endometrial thickness with ultrasonography is a modality commonly used today. Its clinical importance and applications extend throughout the phases of the reproductive lives of women. In premenopausal women, endometrial thickness is used to monitor infertility treatment, while in postmenopausal women with abnormal uterine bleeding it is useful as an initial investigation for endometrial hyperplasia or cancer. Moreover, endometrial thickness can vary with the menstrual cycle and with the use of hormone replacement therapy or selective estrogen receptor modulators. In this review, the use of ultrasound to measure both the premenopausal and postmenopausal endometrium also In this paper, no. of infertile women undergoing induction of ovulation at an hospital care centre were included in a cross-sectional study. Serum Vitamin D level was measured and the rate of clinical pregnancy (defined as a sonographic presence of FHR of an intrauterine gestational sac) and patient and cycle parameters were determined. The results showed that a correlation exists between endometrial thickness as well as the number of antral follicles and replete level of Vitamin D. Interestingly, the median level of these two parameters was of upmost level in the most replete tertile of serum Vitamin D level. There was no correlation between the serum level of Vitamin D and pregnancy rate. Vitamin D status was associated with endometrial thickness and number of antral follicles, but this study did not find a pivotal effect of serum Vitamin D level on pregnancy rate.

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