THE PROBLEM OF THIN ENDOMETRIUM IN THE IN VITRO FERTILIZATION CYCLES
https://doi.org/10.34822/2304-9448-2020-4-63-67
Abstract
The study aims to review scientific literature to determine the concept of thin endometrium, search for the causes of the appearance, the main diagnostic methods, and possible ways to correct the thickness of the endometrium. Material and methods. The works of foreign and Russian authors are studied: randomized controlled trials, systematic reviews, and guidelines. The data is collected from PubMed, eLIBRARY.RU, CyberLeninka, and other databases. The keywords in the search are thin endometrium, endometrial thickness, endometrium, receptivity, infertility. The search depth is six years. Results. Тhere is no clear definition for the thin endometrium, given that for different authors the thickness varies from 7 to 10 mm. Risk factors for the development of a thin endometrium are inflammatory diseases of the pelvic organs and their irradiation, trauma during curettage of the uterine cavity, impaired blood supply, postpartum endometritis, adhesions, septic abortion, the use of clomiphene citrate, hypogonadotropic hypogonadism, premature ovarian failure. The main diagnostic method is a transvaginal ultrasound. Currently, none of the methods for correcting the thickness of the endometrium has proven its effectiveness and none is recommended for use. Therefore, the problem remains and it is actively studied.
About the Authors
M. V. Pavlova
Research Institute of Obstetrics, Gynecology and Reproductology named after D. O. Ott, Saint Petersburg
Russian Federation
Russian Federation
Medical Resident, Obstetrician-gynaecologist,
E-mail: mv.pavlova@list.ru
N. I. Tapilskaya
Research Institute of Obstetrics, Gynecology and Reproductology named after D. O. Ott, Saint Petersburg
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Professor, Leading Researcher,
E-mail: tapnatalia@yandex.ru
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Review
For citations:
Pavlova M.V., Tapilskaya N.I. THE PROBLEM OF THIN ENDOMETRIUM IN THE IN VITRO FERTILIZATION CYCLES. Vestnik SurGU. Meditsina. 2020;(4 (46)):63-67. (In Russ.) https://doi.org/10.34822/2304-9448-2020-4-63-67
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