JOURNAL
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May 2023 -
Volume 21, Issue 4


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From the Editor

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Prevalence of depressive symptoms and its predictive factors among male medical students in University of Bisha, Saudi Arabia
[Abstract]
[pdf]
Abdullah M. Alshahrani, Mohammad S. Al-Shahrani, Muffarah H. Alharthi, Mohannad S. Alamri, Mutasim E. Ibrahim
DOI: 10.5742/MEWFM.2023.95256086

Pemphigus: Clinical study of 68 patients 5 years ago in Aden, Yemen
Amer Omer Bin Al-Zou
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2023.95256088

Investigating Compliance with Insulin Injection Regimens among Diabetic Patients in Najran Armed Forces Hospital
[Abstract]
[pdf]
Metrek Almetrek, Saad Alghamdi, Ali Alhajri, Eisa Ghazwani, HebatAllah Hamdi, Mohmmed Ibrahim, Abeer Salih, Asma Alwadai
DOI: 10.5742/MEWFM.2023.95256102

Regional Covid

Arthralgia and Soft Tissue Swelling Post Covid-19
[Abstract]
[pdf]
Juwairia Hashmi, Kader Mutluer
DOI: 10.5742/MEWFM.2023.95256087

An Unusual Presentation of Acute Pancreatitis:
Case Report Study

[Abstract]
[pdf]
Aza Ziyada, Reem Hassan, Mansour Elmahdi
DOI: 10.5742/MEWFM.2023.95256089

Death of a child in family medicine clinic - a case report
[Abstract]
[pdf]
Bilal Hasan Chaudhry, Imran Ahmad
DOI: 10.5742/MEWFM.2023.95256091

Smoking after a heart attack - a case report
[Abstract]
[pdf]
Laith AlMarsomi, Bilal Hasan
DOI: 10.5742/MEWFM.2023.95256092

Mutations in ZBTB20 cause Primrose syndrome in a Pediatric Patient: A Case Report
[Abstract]
[pdf]
Fawzia Alsharif, Maha A. Elfaramawy, Mohammed F. Alamer, Aman M. Diqarshawi, Sabah S. Shaikh, Mariam AbouTouk, Aljohara S. Alsuhaili, Banan B. Julaidan, Aseel E Ghorab, Hafsat M. Ahmed, Ayoub S Albahrani, Amnah A Alomran, Batool A Alshehab, Ghosoun Anas Moallem
DOI: 10.5742/MEWFM.2023.95256093

Irritable bowel or irritated by lactose?
[Abstract]
[pdf]
Mohammed Asif
DOI: 10.5742/MEWFM.2023.95256094

The manifestations of asthma in a child with Williams Syndrome
[Abstract]
[pdf]
Hanaa Hamadallah
DOI: 10.5742/MEWFM.2023.95256096

Population and Community Studies

An assessment of parents' knowledge, awareness and practice regarding paracetamol use in children

[Abstract]
[pdf]
Manal Abdulaziz Murad, Murad A. Yasawy, Doha Hantoush, Renad Marghalani, Zinab Ali Khamis, Amirah K. Bantan, Manahel saud khayat, Safia Majdi EL-Qaisi
DOI: 10.5742/MEWFM.2023.95256100

Review

Predictors of Patients' Satisfaction with Primary Health Care Services at Kingdom of Saudi Arabia: A Systematic Review
[Abstract]
[pdf]
Abdullah M. Alshahrani
DOI: 10.5742/MEWFM.2023.9525610

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

June 2023- Volume 21, Issue 5

Use of Uterine and Ovarian Arteries Doppler Parameters for the Prediction of Infertility in Females

Corresponding author:
Syed Muhammad Yousaf Farooq
University Institute of Radiological Sciences and Medical Imaging Technology,
University of Lahore
Phone number: 03444514256
Email: Yousafgelani@gmail.com

Received: April 2023. Accepted: May 2023; Published: June 1, 2023.
Citation: Syed Muhammad Yousaf Farooq et al. Use of Uterine and Ovarian Arteries Doppler Parameters for the Prediction of Infertility in Females. World Family Medicine. June 2023; 21(5): 60-65. DOI: 10.5742/MEWFM.2023.95256113

Abstract

Background: In the context of fertility, Doppler sonography is used to evaluate the blood flow to the uterus and ovaries. The blood flow to these organs plays a crucial role in the process of ovulation, fertilization, and implantation of the fertilized egg. Changes in the Doppler sonographic indices of the uterine and ovarian arteries can provide information about the blood flow to these organs and can help identify potential problems that may be affecting fertility.

Objective: To evaluate the Doppler indices of uterine and ovarian arteries in fertile and infertile women and help clinicians develop more effective diagnostic and treatment strategies for infertility.

Methodology: A cross-sectional Analytical study was conducted for a duration of 9 months at a Medics Dr. Amers, Lahore, Pakistan. The study included 150 fertile and 150 infertile females aged 18-45 and excluded all females using oral contraceptive and contraceptive devices. SPSS software version 25 was used to analyze the data.

Results: Age of participants ranged between 19 to 43 years with a mean + SD age of 28 + 6.5 years. The mean + SD RI and PI of left ovarian artery was 0.48 + 0.03 and 1.1 + 0.13 in the fertile, 0.9 + 0.03 and 4.2 + 1.2 in the infertile group. The mean + SD RI and PI of right ovarian artery was 0.60 + 0.03 and 1.6 + 0.06 in the fertile, 0.8 + 0.01 and 3.0 + 0.4 in theinfertile group (Table 1) Overall, results shows that the four variables are significantly different between fertile and infertile groups, with higher values in the infertile group.

Independent sample test showed statistical significance between RI and PI of right ovarian artery of both groups (P < 0.05). However, in left ovarian artery the values of PI in both groups showed a significance (P< 0.05) were as values RI are found to be insignificant (P > 0.05). Independent sample test showed statistical significance between RI and PI of right and left uterine artery of both groups (P < 0.05). The mean + SD endometrial thickness in fertile group was 11.0 + 2.6 mm it was 9 + 1.6 mm in infertile group (Table 3). Indicating a significant difference between the two groups (P < 0.05).

Conclusion: Uterine and Ovarian artery hemodynamics plays an important role in fertility. Findings from this study revealed that a high RI and PI and thin endometrium significantly affects fertility.

Key words: Resistive index, Pulsatility index, Infertility, Uterine artery, Ovarian artery.