РОЛЬ УЛЬТРАСОНОГРАФИИ В ДИАГНОСТИКЕ ГОРМОНАЛЬНОГО  БЕСПЛОДИЯ: НЕДОСТАТОЧНОСТЬ ЛЮТЕИНОВОЙ ФАЗЫ

F.I. Kulikova; R.Ya. Abdullaiev; V.G. Karpenko; S.V. Abramov; N.M. Pasieshvili; S.S. Ostrovska; O.O. Аleksenko

doi:10.34921/amj.2021.3.009

Authors

F.I. Kulikova Dneprovsk State Medical University
R.Ya. Abdullaiev Kharkiv Medical Academy of Postgraduate Education
V.G. Karpenko Kharkiv Medical Academy of Postgraduate Education
S.V. Abramov Dnipro Medical Institute of Traditional and Non-Traditional Medicine
N.M. Pasieshvili Kharkiv Regional Clinical Perinatal Center
S.S. Ostrovska Dnipro Medical Institute of Traditional and Non-Traditional Medicine
O.O. Аleksenko Dnipropetrovsk Regional Hospital I.I. Mecnikov

DOI:

https://doi.org/10.34921/amj.2021.3.009

Keywords:

hormonal infertility, ultrasonography, luteal phase insufficiency of the menstrual cycle

Abstract

The article provides information on the ultrasonographic diagnosis of hormonal infertility - of the luteal phase insufficiency (LFI) of the menstrual cycle. A retrospective analysis of the results of transvaginal echography of the uterus and ovaries of 49 women aged 19-36 years was carried out, in whom the fact of ovulation by the same method was established, but pregnancy did not occur. In these women, ovulation was significantly more frequent on the 15^th day of the cycle; in the comparative group (CG) of fertile women with a normal menstrual cycle (28 women), ovulation was significantly more frequent (p<0.05) on the 13^th day of the cycle.

The average value of the M-echo in the LFI group on the 17^th day of the menstrual cycle was 7.8±1.2 mm, in the CG - 12.5±1.1 mm (p <0.01); on the 22^nd day - 7.9±1.1 mm and 13.6±1.3 mm (p<0.001), respectively.

Heterogeneous corpus luteum (HCL) on the 22^nd day of the menstrual cycle was significantly less common (p<0.001) in women with LFI than in fertile women (7.4±3.6% versus 65.6±8.8). Increased vascularization of the corpus luteum on the next day of ovulation in the LFI group was observed in 34.7±6.8% of cases, and in the CG - in 92.6±5.0%, significantly less frequently than in the CG (p<0.001).