Association of endometrial thickness, zone 3 flow, endometrial layering, luteal phase defect and subsequent endometrial scratching with improved chances of implantation and conception in a study conducted in a tertiary care centre, India

Abstract

A prospective study was carried out in the Department of Obstetrics and Gynaecology in a tertiary care centre, India from February 2019 to July 2019.The parameters documented in the study were endometrial thickness, zone 3 flow and endometrial layering. Among patients with unexplained infertility,58% had ET <= 7mm, 42% had ET > 7mm, 33% had sparse (none conceived) and 67% had adequate zone 3 flow (out of which 25% conceived). 25% had poor (none conceived) and 75% had adequate endometrial layering(out of which 22% conceived). Among 48 patients who underwent endometrial scratching, 67% had luteal phase defect (none conceived). Rest 33% who did not have luteal phase defect conceived. Statistical analysis was done using SPSS software19.0 to find out association, if any. Conclusion of the study was that endometrial scratching enhances chances of conception. Optimum endometrial thickness, zone 3 flow and endometrial layering are also necessary for successful implantation.