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 , polyps