•	Ultrasound Examination (Antral Follicle Count and Ovarian Volume) Versus Serum FSH Measurement in Assessment of Ovarian Reserve

Al, Hadi; Mosawi,; Al, Melal; Jebory,; Al- Shaikh, Suhaila

	• Ultrasound Examination (Antral Follicle Count and Ovarian Volume) Versus Serum FSH Measurement in Assessment of Ovarian Reserve
Kerbala Journal of Medicine
Article 1, Volume 4, Issue 10, 2011, Pages 1133-1139 PDF (0 K)
Authors
Hadi Al; ; Melal Al; ; Suhaila Al- Shaikh
Abstract
aim of study: The current study was designed to compare antral follicle count (A.F.C), ovarian volume & day 3 FSH level, with respect to their ability to predict ovarian response of infertile women to ovulation induction agents (antiestrogens such as clomiphene citrate or tamoxifen, or exogenous gonadotrophins). Material and Methods: Sixty-two patients between the ages of 19 - 43 years participated in this study when attending the infertility clinic of Babylon Hospital for Maternity and Children. All patients underwent a transvaginal sonography on day 3-5 of cycle to measure the ovarian volume and count of basal antral follicle, and basal FSH concentration was determined on day 2-4 of a spontaneous period. Induction of ovulation in next cycle by using antiestrogens or gonadotroohins (pure FSH- gonal- F ) for 3 successive cycles . Patients monitored by using TVS on other days, then on day 12 of cycle TVS was performed to assess the presence of dominant follicle. Results: In this study the results showed that AFC has a higher predictability for successful fertility treatments by assessing ovarian reserve, i.e. when AFC < 10; the success rate was 13.3, while when AFC > 10; the success rate was 58.3. The next predicting factor was ovarian volume, when < 3 ml; the chance of success was very poor (zero), while when volume is 3-9 ml; the success rate was 40.4% & when volume >9 ml; the success rate was 63.6%. While day 3 FSH had the lowest predictability, when FSH < 10 m IU /ml; the success rate was 45.3%, while when FSH > 10 m IU / ml; the success rate was 38.8% Conclusion: A.F.C. performs well as a test for ovarian response being superior to complex and time consuming endocrine tests. It is therefore likely to be the test for general practice.

Statistics Article View: 148 PDF Download: 92