IS Three d Power Doppler of the Endometrial and Subendometrial Regions Effective in Predicting Endometrial Implantation?
IS Three d Power Doppler of the Endometrial and Subendometrial Regions Effective in Predicting Endometrial Implantation?
Three D power Doppler US was done for every woman at the day after HCG administration. Ovum
 pick up was done after 35 hours following HCG administration. The luteal phase was supported
 by progesterone 300 mg per day (progest, micronized progesterone 100mg, Technopharma, Egypt,
 for pharco pharmaceuticals, Amriya- Alexandria). Five days following ovum pick up, the
 embryos were transferred at the blastocyst stage.
All women underwent long agonist protocol for controlled ovarian hyperstimulation described
 by Chang et al. (14) The GnRH agonist was started in the previous mid-luteal phase
 (decapeptylR R 0.1mg, Triptorelin-Acetate, Ferring GmbH, Wittland 11, D-24109, and Kiel,
 Germany). After the confirmation of pituitary down regulation (serum LH less than 5 m IU/ml
 and serum E2 less than 50 pg /ml), the HMG ampoules were started by 225 IU/day (Gonapure 75
 IU, IBSA Institute Biochimique SA, Switzerland). During the follow up of overstimulation, the
 doses were adjusted according to the response of patient. All women underwent serial TVS
 until at least three dominant follicles were reached in every woman. When the dominant
 follicles reached 18-20 mm, HCG 10000 (Choriomon 5000 IU, IBSA Institute Biochimique SA,
 Switzerland) was administered. Three D power Doppler US was done for every woman at the day
 after HCG administration. Ovum pick up was done after 35 hours following HCG administration.
 The luteal phase was supported by progesterone 300 mg per day (progest, micronized
 progesterone 100mg, Technopharma, Egypt, for pharco pharmaceuticals, Amriya- Alexandria).
 Five days following ovum pick up, the embryos were transferred at the blastocyst stage.
 Twelve days later to embryo transfer, serum pregnancy test was done and if positive (chemical
 pregnancy), the clinical pregnancy was confirmed by TVS for detection of gestational sacs and
 embryo cardiac activity. The ongoing pregnancy was detected by abdominal ultrasound at 12
 weeks.
Inclusion Criteria:

 a

 -  age; 22-35 years,

 -  BMI; less than 35 kg/m2,

 -  Husband with oligo- or oligoasthenospermia.

 Exclusion Criteria:

 -  \1-gross uterine and tubal pathology,

 -  2-Development of OHSS,

 -  3-poor responders,

 -  4-failure of oocyte fertilization or failure of the embryos to reach the blastocyst
 stage and

 -  5-Refusal to participate in the study at any step of the ICSI cycle.