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Corresponding Author

Tag El-Din Ahmed Muhammad El-Sayed

Document Type

Original Article

Abstract

Background: Worldwide, intrauterine contraceptive devices (IUCDs) are widely utilized. Uterine hemorrhage and/or period pain are copper IUD side effects. Resistance index (RI) and pulsatility index (PI) did not change significantly following copper-medicated IUD insertion (PI). Power Doppler investigation showed that the copper-IUD affected sub endometrial micro vascularization in side-effect patients (dysmenorrhea or menorrhagia). Doppler assessment of blood flow indicators before insertion can identify women prone to menorrhagia or menstrual pain. Aim: To evaluate resistance index of the uterine and ovarian arteries as well as power Doppler energy of subendometrial microvascularization, before and three months after insertion of IUCD, using vaginal pulsed and color Doppler ultrasonography. Subjects and Methods: This study was performed at Al-Hussein and Sayed Galal Hospitals, and El-Sheikh Zayed Specialized Hospital Al-Azhar University. Sixty women were selected to enter this study. Results: The research population's initial subendometrial RI values varied from 0.62 to 0.78, while post-insertion subendometrial RI values ranged from 0.61 to 0.82. The study population's initial uterine artery RI ranged from 0.66 to 0.86, whereas the population's post-insertion uterine artery RI ranged from 0.63 to 0.83. Most patients suffer from Sub-endometrial Vascular RI Δ Percentage of (< 10%) in the study population. Most patients suffer from bleeding according to IUCD-related Side Effects. Conclusion: The findings of this study imply that women with IUCD-induced menorrhagia had increased uterine blood flow. You can employ endometrial, ovarian, and sub-endometrial Doppler vascular indices to predict severe monthly bleeding brought on by IUCD.

Keywords

IUCD, Doppler study, uterine arteries, ovarian arteries.

Subject Area

Cardiovascular, Obstetrics and Gynecology

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