Search

Introduction: Infertility is one of the common medical issues in today's world. One of the common causes of infertility is the lack of implantation of the embryo. Aim: To compare the effect of Ethinyl Estradiol (E2) alone on Endometrial Thickness (ET) with that of sildenafil citrate and E2 combination. Materials and Methods: In this clinical trial, 70 infertile women undergoing treatment with Assisted Reproductive Techniques (ARTs) were randomly divided into two groups of 35 each. One group received E2 and vaginal sildenafil and the other E2 alone. On the seventh day of the cycle and, if necessary, until ET reached 8 mm, ET in both groups was measured by transvaginal ultrasound. After the embryo transfer, Beta-Human Chorionic Gonadotropin (BHCG) was performed in both groups. The measured thickness of uterus and BHCG were recorded in the checklist for both groups. Data were analysed by SPSS and p<0.05 was considered significant. Results: The mean duration (in days) to reach an 8 mm ET in infertile women in the E2+sildenafil group (13.59±3.07) was lower than that in the E2 group (14.88±4.78), yet insignificant (p=0.21). Although the mean dose (mg) of E2 and duration (day) to reach an 8 mm ET in the E2+sildenafil group was lower than those in the E2 group, significance (p) levels were 0.02 and 0.21, respectively. Conclusion: In infertile women undergoing ARTs, coadministration of sildenafil citrate and E2 increased ET relatively and reduced the dose of E2 and the duration of its administration. [ABSTRACT FROM AUTHOR]

Introduction: Foeniculum vulgare seed is used to treat infertility because of phytoestrogenic properties. Aim: The present study was conducted to compare the effects of F. vulgare plus oestrogen and oestrogen alone on Endometrial Thickness (ET) in infertile women. Materials and Methods: In this study, 92 people with infertility were enrolled by convenience sampling and randomly divided into case (45 women) and control (47 women) groups. Both groups were administered with oestradiol valerate 2 mg tablet three times a day since the third day of the menstrual cycle. Treatment group was also administered with F. vulgare tea on a daily basis. Then, ultrasound was conducted once every three days to determine ED. Other data such as serum β-hCG level and increase in oestrogen dose were recorded in a checklist. The data were analysed by independent t-test and Chi-square in SPSS version 17.0. Results: There were no significant differences in mean age, BMI, number of years of infertility, number of children, cause of infertility, positive β-hCG, failure to achieve adequate endometrial thickness, and increase in oestradiol dose between the treatment and control groups (p>0.05). The mean number of days to achieve ET of at least 8 mm was 13.1±3.2 in the treatment group and 14.2±3.5 in the control group with no significant difference (p>0.05). Conclusion: F. vulgare seed tea was not significantly effective in increasing the ET as compared to oestradiol valerate 6 mg alone. [ABSTRACT FROM AUTHOR]