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Human Reproduction, Vol. 5, No. 3, pp. 234-236, 1990
© 1990 European Society of Human Reproduction and Embryology

research-article

Pelvic sonography can predict ovum release in gonadotrophin-treated patients as determined by pregnancy rate

Jerome H. Check1, Harriet G. Adelson, Carole Dietterich and Julie Stern

The UMDNJ Robert Wood Johnson Medical School at Camden Cooper Hospital/University Medical Center Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility Camden, NJ USA

Correspondence: 1To whom correspondence should be addressed at: 1015 Chestnut Street, Suite 1020, Philadelphia, PA 19017, USA

Ultrasonographic monitoring of ovum release was performed in two consecutive cycles in each of 220 patients treated with gonadotrophin. Definite release occurred in 69% of cycles, indeterminate in 24% and non-release in 7%. Support for the accuracy of sonography in diagnosing the luteinized unruptured follicle (LUF) was demonstrated by a much higher pregnancy rate in those patients showing ovum release. There was a definite tendency for non-release to recur in the next cycle. Thus, the data support the routine use of sonography 2–3 days after human chorionic gonadotrophin (HCG) injection to monitor ovum release in gonadotrophin-treated patients (HMG).

Key words: human menopausal gonadotrophins/luteinized unruptured follicle/sonography


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