An observational study of endometrial pattern in implantation

Abstract

Background: Garbhasambhav Samugri is a concept in Ayurveda which describes factors to bring healthy offspring into the society. The kshetra is one of the four essential factors for the formation and development of the embryo, and the term kshetra is used grossly for women but is specifically used for garbhashaya (uterus). According to modern science, embryo implants in the endometrial lining of uterus. All  components of the endometrium undergo cyclic changes which is called as endometrial cycle. The endometrial cycle prepares the endometrium for implantation of the fertilized ovum coming towards the uterus. The main changes in the endometrium are increase in thickness, growth of uterine glands and increase in thickness and fluid content of endometrial stroma. These changes are reflected as various pattern in the ultrasound. This study will give useful information about which morphological pattern of endometrium is best suitable for implantation.Objectives: The objective of this study is to understand effects of endometrial pattern on implantation, as fertilised egg implants in the endometrial lining of the uterus. Material & Methods: Anonymous data of transvaginal colour doppler ultrasound examination done, on the day of rupture of follicle of menstrual cycle, on 160 women, willing to conceive, has been collected from gynaecologist, from this collected data, results regarding endometrial pattern were derived. Results: It was observed that implantation occurs only in cases having endometrium with trilaminar pattern. Conclusion: Implantation occurs only when endometrium has a trilaminar pattern consisting of a prominent outer and central hyperechoic line and inner hypoechoic region.