Noyes criteria endometrial dating
With use of LH peak, 24 of 26 samples were in phase, and 2 were 3 days behind.
Pinopodes appeared on days 20–21 and persisted through day 28 in small groups or larger areas.
By this means, all of the tissue fragments remain tightly attached to the lens paper, rather than floating in the fixative, and no tissue will be lost for histologic examination.
Objective: To reassess endometrial morphological criteria of normality identifying the best morphological and molecular “implantation window” indicators in normal women. Result(s): In 26 of 28 biopsies observers agreed; in two biopsies there was a discrepancy (difference of 72 hours).
In current practice, the device that is most often used is the Pipelle endometrial aspirator.
To ensure a maximum amount of tissue for morphological reading, the specimen should be placed on a piece of lens paper or some other adhesive tissue and then immersed in the fixative.
Management of any underlying female and/or male factors affecting fertility may include medical treatment (eg, pharmacotherapy), surgical intervention, or both.
P4 receptors were positive through day 20 and at the end of the luteal phase.
β3 Integrin was highly expressed in luminal and glandular epithelium from day 22 through 28; 48 hours thereafter pinopodes appeared.
α4 Subunit exhibited luminal epithelium reaction positivity on days 22–23 and glands on days 18–23. MAG antibodies showed luminal epithelium expression up to day 22 and glands up to day 25.
Female factors that affect fertility include the following categories: Infertility is a problem that involves both partners.
Diagnostic testing is unnecessary if the couple has not attempted to conceive for at least 1 year, unless the woman is age 35 years or older, or if they have a history of a male factor infertility, endometriosis, a tubal factor, diethylstilbestrol (DES) exposure, pelvic inflammatory disease, or pelvic surgery.