Quantifying Uterine Elastography in Menstruating Women

NCT ID: NCT06816381

Last Updated: 2025-02-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-02-06

Study Completion Date

2026-12-31

Brief Summary

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This study is aiming to characterize the elasticity of the female reproductive tract including the uterus, cervix and ovary using shear wave elastography at different times during the menstrual cycle and define the standard reference range of normal uterine and ovarian elasticity. By doing so, the potential of using shear wave elastography to diagnose and predict outcomes for patients seeking fertility treatment might be established.

Detailed Description

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Conditions

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Infertility (IVF Patients) Infertility Assisted Reproductive Technology

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Nulliparous Women with No Known infertility

Female patients with normal menstrual cycles, normal ovarian and uterine anatomy and with no known prior pregnancy (including miscarriages, terminations, ectopic pregnancies, preterm and full term deliveries)

Shear wave elastography measurements

Intervention Type DEVICE

Shear wave elastography measurements in kilopascals via ultrasound

Gravid Women with No Known infertility

Female patients with normal menstrual cycles, normal ovarian and uterine anatomy with at least one prior full term vaginal delivery with no known infertility

Shear wave elastography measurements

Intervention Type DEVICE

Shear wave elastography measurements in kilopascals via ultrasound

Primary Infertile Women Without Uterine Factor Infertility

Female patients with normal menstrual cycles, normal ovarian and uterine anatomy and with no known prior pregnancy (including miscarriages, terminations, ectopic pregnancies, preterm and full term deliveries) that has been diagnosed with primary infertility

Shear wave elastography measurements

Intervention Type DEVICE

Shear wave elastography measurements in kilopascals via ultrasound

Interventions

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Shear wave elastography measurements

Shear wave elastography measurements in kilopascals via ultrasound

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with normal menstrual cycles lasting 28-34 days
* Patients with normal uterine anatomy
* Patients with no prior pregnancy history including miscarriages, terminations, ectopic pregnancies, preterm deliveries, or full-term deliveries
* Patient who have no known infertility (i.e. women who have not tried to conceive)


* Patients with normal menstrual cycles lasting 28 days to 34 days.
* Patients with normal uterine and ovarian anatomy (absence of gross pathology on screening visit ultrasound)
* Patients with at least one prior full-term vaginal delivery with time to conception less than one year without the use of assisted reproductive technology.


* Patients with normal menstrual cycles lasting 28 days to 34 days.
* Patients with normal uterine and ovarian anatomy (absence of gross pathology on screening visit ultrasound)
* Patient with no prior pregnancy history including miscarriages, terminations, ectopic pregnancies, preterm deliveries, or full-term deliveries (i.e gravity equals zero).
* Patient with diagnosis of primary infertility, with attempted conception for at least 12 months if younger than 35 years and attempted conception for at least 6 months if 35 years or older.

Exclusion Criteria

* BMI ≥ 35
* Current use of intrauterine devices (IUDs), hormonal implants, or hormonal birth control medications. Participants on hormonal birth control interested in study participation may be included following one month of discontinuation of hormonal medication.
* History of uterine surgery (i.e hysteroscopy, dilation and curettage, myomectomy)
* History of ovarian surgery (i.e ovarian cystectomy, oophorectomy, removal of -endometrioma)
* History of surgically-confirmed or clinically suspected endometriosis or ultrasound evidence of endometriosis (i.e endometrioma)
* Currently present or surgically corrected uterine anomalies
* Ultrasound evidence of or history of communicating hydrosalpinx
* Ultrasound evidence of or history of leiomyomas
* Ultrasound evidence of adenomyosis based on the Morphological Uterus Sonographic Assessment criteria (MUSA) (19)
* Ultrasound evidence of ovarian pathology including mature teratoma/dermoid cyst, persistent functional cysts larger than 2 cm, or ovarian cancer.

Group B


* BMI ≥ 35
* Current use of intrauterine devices (IUDs), hormonal implants, or hormonal birth control medications. Participants on hormonal birth control interested in study participation may be included following one month of discontinuation of hormonal medication.
* History of cesarean section
* Patient who have no known secondary infertility (i.e. women who have not tried to conceive)
* Diagnosis of secondary infertility (i.e women who have attempted pregnancy for 12 months without success)
* History of uterine surgery (i.e hysteroscopy, dilation and curettage, myomectomy)
* History of ovarian surgery (i.e ovarian cystectomy, oophorectomy, removal of endometrioma)
* History of surgically-confirmed or clinically suspected endometriosis or ultrasound evidence of endometriosis (i.e endometrioma)
* Currently present or surgically corrected uterine anomalies
* Ultrasound evidence of or history of communicating hydrosalpinx
* Ultrasound evidence of or history of leiomyomas
* Ultrasound evidence of adenomyosis based on the Morphological Uterus Sonographic Assessment criteria (MUSA) (19)
* Ultrasound evidence of ovarian pathology including mature teratoma/dermoid cyst, persistent functional cysts larger than 2 cm, or ovarian cancer.

Group C


* BMI ≥ 35
* Current use of intrauterine devices (IUDs), hormonal implants, or hormonal birth control medications. Participants on hormonal birth control interested in study participation may be included following one month of discontinuation of hormonal medication.
* History of three or more failed euploid embryo transfers
* Severe male factor infertility including severe oligozoospermia and cryptozoospermia
* History of uterine surgery (i.e hysteroscopy, dilation and curettage, myomectomy)
* History of ovarian surgery (i.e ovarian cystectomy, oophorectomy, removal of endometrioma)
* History of surgically-confirmed or clinically suspected endometriosis or ultrasound evidence of endometriosis (i.e endometrioma)
* Currently present or surgically corrected uterine anomalies
* Ultrasound evidence of or history of communicating hydrosalpinx
* Ultrasound evidence of or history of leiomyomas
* Ultrasound evidence of adenomyosis based on the Morphological Uterus Sonographic Assessment criteria (MUSA) (19)
* Ultrasound evidence of ovarian pathology including mature teratoma/dermoid cyst, persistent functional cysts larger than 2 cm, or ovarian cancer.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Reproductive Medicine Associates of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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RMA

Basking Ridge, New Jersey, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Caroline Zuckerman, BS, BSN, RN

Role: CONTACT

9736562841

Christine Whitehead, MS, BSN, RN

Role: CONTACT

9736562841

Facility Contacts

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Christine Whitehead, MS, BSN, RN

Role: primary

9736562841

References

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6. https://www.sart.org/patients/a-patients-guide-to-assisted-reproductive-technology/general-information/success-rates/

Reference Type BACKGROUND

Vora Z, Manchanda S, Sharma R, Das CJ, Hari S, Mathur S, Kumar S, Kachhawa G, Khan MA. Transvaginal Shear Wave Elastography for Assessment of Endometrial and Subendometrial Pathologies: A Prospective Pilot Study. J Ultrasound Med. 2022 Jan;41(1):61-70. doi: 10.1002/jum.15679. Epub 2021 Mar 1.

Reference Type BACKGROUND
PMID: 33645765 (View on PubMed)

Shao J, Shi G, Qi Z, Zheng J, Chen S. Advancements in the Application of Ultrasound Elastography in the Cervix. Ultrasound Med Biol. 2021 Aug;47(8):2048-2063. doi: 10.1016/j.ultrasmedbio.2021.04.009. Epub 2021 May 26.

Reference Type BACKGROUND
PMID: 34049726 (View on PubMed)

Van den Bosch T, de Bruijn AM, de Leeuw RA, Dueholm M, Exacoustos C, Valentin L, Bourne T, Timmerman D, Huirne JAF. Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound Obstet Gynecol. 2019 May;53(5):576-582. doi: 10.1002/uog.19096. No abstract available.

Reference Type BACKGROUND
PMID: 29790217 (View on PubMed)

Soliman AA, Wojcinski S, Degenhardt F. Ultrasonographic examination of the endometrium and myometrium using acoustic radiation force impulse (ARFI) imaging technology: An initial experience with a new method. Clin Hemorheol Microcirc. 2015;59(3):235-43. doi: 10.3233/CH-141842.

Reference Type BACKGROUND
PMID: 24840338 (View on PubMed)

Kabukcu C, Cabus U, Oztekin O, Fenkci V. The strain rate of endometrium measured by real-time sonoelastography as a predictive marker for pregnancy in gonadotropin stimulated intrauterine insemination cycles. J Obstet Gynaecol Res. 2021 Oct;47(10):3561-3570. doi: 10.1111/jog.14921. Epub 2021 Jul 12.

Reference Type BACKGROUND
PMID: 34254413 (View on PubMed)

Batur A, Yavuz A, Ozgokce M, Bora A, Bulut MD, Arslan H, Alpaslan M. The utility of ultrasound elastography in differentiation of endometriomas and hemorrhagic ovarian cysts. J Med Ultrason (2001). 2016 Jul;43(3):395-400. doi: 10.1007/s10396-016-0701-5. Epub 2016 Feb 15.

Reference Type BACKGROUND
PMID: 26880060 (View on PubMed)

Swierkowski-Blanchard N, Boitrelle F, Alter L, Selva J, Quibel T, Torre A. Uterine contractility and elastography as prognostic factors for pregnancy after intrauterine insemination. Fertil Steril. 2017 Apr;107(4):961-968.e3. doi: 10.1016/j.fertnstert.2017.02.002. Epub 2017 Mar 7.

Reference Type BACKGROUND
PMID: 28283264 (View on PubMed)

Altunkeser A, Inal ZO, Baran N. Evaluation of Ovaries in Patients with Polycystic Ovary Syndrome using Shear Wave Elastography. Curr Med Imaging. 2020;16(5):578-583. doi: 10.2174/1573405615666190114150538.

Reference Type BACKGROUND
PMID: 32484092 (View on PubMed)

Raga F, Bonilla-Musoles F, Casan EM, Klein O, Bonilla F. Assessment of endometrial volume by three-dimensional ultrasound prior to embryo transfer: clues to endometrial receptivity. Hum Reprod. 1999 Nov;14(11):2851-4. doi: 10.1093/humrep/14.11.2851.

Reference Type BACKGROUND
PMID: 10548635 (View on PubMed)

Barrett F, Willson S, Werner M. Advancements in the application of uterine ultrasound elastography. Curr Opin Obstet Gynecol. 2024 Jun 1;36(3):181-185. doi: 10.1097/GCO.0000000000000949. Epub 2024 Mar 26.

Reference Type BACKGROUND
PMID: 38656810 (View on PubMed)

Hawkins Bressler L, Steiner A. Anti-Mullerian hormone as a predictor of reproductive potential. Curr Opin Endocrinol Diabetes Obes. 2018 Dec;25(6):385-390. doi: 10.1097/MED.0000000000000440.

Reference Type BACKGROUND
PMID: 30299431 (View on PubMed)

Zaniker EJ, Zhang M, Hughes L, La Follette L, Atazhanova T, Trofimchuk A, Babayev E, Duncan FE. Shear wave elastography to assess stiffness of the human ovary and other reproductive tissues across the reproductive lifespan in health and diseasedagger. Biol Reprod. 2024 Jun 12;110(6):1100-1114. doi: 10.1093/biolre/ioae050.

Reference Type BACKGROUND
PMID: 38609185 (View on PubMed)

Cedars MI. Evaluation of Female Fertility-AMH and Ovarian Reserve Testing. J Clin Endocrinol Metab. 2022 May 17;107(6):1510-1519. doi: 10.1210/clinem/dgac039.

Reference Type BACKGROUND
PMID: 35100616 (View on PubMed)

Scott RT Jr, Upham KM, Forman EJ, Hong KH, Scott KL, Taylor D, Tao X, Treff NR. Blastocyst biopsy with comprehensive chromosome screening and fresh embryo transfer significantly increases in vitro fertilization implantation and delivery rates: a randomized controlled trial. Fertil Steril. 2013 Sep;100(3):697-703. doi: 10.1016/j.fertnstert.2013.04.035. Epub 2013 Jun 1.

Reference Type BACKGROUND
PMID: 23731996 (View on PubMed)

Scott RT Jr, Ferry K, Su J, Tao X, Scott K, Treff NR. Comprehensive chromosome screening is highly predictive of the reproductive potential of human embryos: a prospective, blinded, nonselection study. Fertil Steril. 2012 Apr;97(4):870-5. doi: 10.1016/j.fertnstert.2012.01.104. Epub 2012 Feb 2.

Reference Type BACKGROUND
PMID: 22305103 (View on PubMed)

Other Identifiers

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2401-BRG-003-FB

Identifier Type: -

Identifier Source: org_study_id

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