Obstetrics & Gynecology Track the topics, authors and articles important to you
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 2001;97:92-96
© 2001 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by GUERMANDI, E.
Right arrow Articles by CROSIGNANI, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GUERMANDI, E.
Right arrow Articles by CROSIGNANI, P.

ORIGINAL RESEARCH

Reliability of Ovulation Tests in Infertile Women

ELLADE GUERMANDI, MD, WALTER VEGETTI, MD, MASSIMILIANO M. BIANCHI, MD, ANNA UGLIETTI, MD, GUIDO RAGNI, MD and PIERGIORGIO CROSIGNANI, MD

From the First Department of Obstetrics and Gynaecology, University of Milan, Milan, Italy.

Address reprint requests to: Ellade Guermandi, MD, University of Milan, First Department Obstetrics and Gynecology, Via della Commenda 12, Milan, 20122 Italy

Objective: To assess the reliability of the most widely used clinical methods for predicting or confirming ovulation.

Methods: We monitored spontaneous cycles in 101 infertile women using basal body temperature (BBT), transvaginal ultrasound, a urinary stick system for LH surge, and three serum progesterone measurements in the midluteal phase. Transvaginal ultrasound monitoring was standard for ovulation detection and sensitivity. We calculated specificity and accuracy of each method compared with that standard.

Results: Follicular development and ultrasound evidence of ovulation were confirmed in 97 of 101 cycles (96%). Urinary LH surge preceded follicular rupture assessed by ultrasonography in all cycles and showed concordance with ultrasound-evidenced ovulation in 98 of 101 cases. The timing of BBT nadir had wide variability, and BBT and ultrasonography agreed in a similar percentage of cases (74%). Midluteal serum progesterone assessments showed ovulatory values in 93 subjects, and ovulation was concordant with ultrasonography in 90 subjects.

Conclusion: Urinary LH was accurate in predicting ovulation with ultrasonography as the standard for detection, but time varied widely. The nadir of BBT predicted ovulation poorly. The BBT chart was less accurate for confirming ovulation, whereas a single serum progesterone assessment in midluteal phase seemed as effective as repeated serum progesterone measures.




This article has been cited by other articles:


Home page
 The Annals of PharmacotherapyHome page
S. F Eichner and E. M Timpe
Urinary-Based Ovulation and Pregnancy: Point-of-Care Testing
Ann. Pharmacother., February 1, 2004; 38(2): 325 - 331.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
P. G. Crosignani, M. Colombo, W. Vegetti, E. Somigliana, A. Gessati, and G. Ragni
Overweight and obese anovulatory patients with polycystic ovaries: parallel improvements in anthropometric indices, ovarian physiology and fertility rate induced by diet
Hum. Reprod., September 1, 2003; 18(9): 1928 - 1932.
[Abstract] [Full Text] [PDF]

Home page
 JWatch Women's HealthHome page
A Comparison of Ovulation Tests
Journal Watch Women's Health, March 6, 2001; 2001(306): 4 - 4.
[Full Text]

Home page
 JWatch GeneralHome page
Urinary LH Predicts Ovulation in Infertile Women
Journal Watch (General), February 16, 2001; 2001(216): 5 - 5.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by the American College of Obstetricians and Gynecologists.