PREDICTIVE VALUE OF ENDOMETRIAL SONOGRAPHY IN OVULATION INDUCTION FORINTRAUTERINE INSEMINATION

This prospective study was undertaken to evaluate the prognostic value of the endometrial sonographic pattern on the day of human chorionic gonadotropin (hCG) administration in patients who underwent intrauteri ne insemination. The endometrial, sonographic patterns were classified as homogenous, hyperechogenic (A), intermediate isoechogenic (B) and multiple-layered ''triple-line'' (C). Type A had no pregnancies, where as type B had a 20% fecundity rate and type C had a 21.1% fecundity ra te. The continuing pregnancy rate was 10% in type B, as compared to 19 .3% in type C. The data suggest that the endometrial sonographic patte rn on the day of hCG administration may be of predictive value regardi ng fecundity and continuing pregnancy in the intrauterine insemination cycle.