The effect of ethinyl estradiol on endometrial thickness and uterine volume during ovulation induction by clomiphene citrate

S. Yagel, A. Ben-Chetrit, E. Anteby, D. Zacut, D. Hochner-Celnikier, M. Ron

Research output: Contribution to journalArticlepeer-review

93 Scopus citations

Abstract

Objective: To assess the deleterious effect of clomiphene citrate (CC) on the development of the endometrium and its improvement by the addition of ethinyl estradiol (E2). Participating Patients: Infertility-treated patients, monitored for induction of ovulation or timing of insemination (control group). Design: We studied four groups of women during an ovulatory cycle with various treatment schedules. Group 1: untreated patients; group 2: patients treated by CC; group 3: patients treated by CC + ethinyl E2; group 4: patients treated by human menopausal gonadotropin. Follow-up of the patients was done by vaginal ultrasonography and measurements of blood E2. Results: In the group treated by CC, both endometrial thickness and uterine volume growth during the follicular phase were lower as compared with untreated controls and menotropin-treated patients. The addition of ethinyl E2 to these patients reversed this deletrious effect of CC without interfering with ovulation. Conclusion: Ethinyl E2 may reverse the deleterious effect of CC on endometrial development during the follicular phase.

Original languageEnglish
Pages (from-to)33-36
Number of pages4
JournalFertility and Sterility
Volume57
Issue number1
DOIs
StatePublished - 1 Jan 1992
Externally publishedYes

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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