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Poor Endometrium

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Poor Endometrium

We all know that uterus is the house for developing baby.

Endometrium is the lining of uterus which gradually becomes thicker and enriched with blood so to receive embryo and to help in implantation

By ultrasound we can measure the lining of the uterus.

Optimal lining for implantation should be three layered ( trilaminar) measuring btwn 8-10.5 mm

Implantation can fail if the lining is too thin or too thick or if there is a polyp or a fibroid seated in the uterine cavity

Too thin line can be due to infection ,injury or Genital Koch’s

Too thick line can be due to a polyp, fibroid or hormonal imbalance

By ultrasound at times these pathologies cannot be identified accurately

Poor endometrium plays a major role in implantation failure

So it is very much advisable to go through Hysteroscopy to find out such uterine abnormalities and perform operative surgeries to reform the lining for better implantation and successful pregnancies

Indication for hysteroscopy : failed IVF , repeated miscarriages , injuries due to D & C , infections , uterine fibroids.