Objectives
The objective of this research is to study the
hypothesis that the cervical canal is an active gynecologic
organ responding to the cyclic ovulation hormones
comparable to its known hormonal response in
obstetrics. We hypothesized that cervical canal diameter
changes have a significant correlation with dominant
follicle growth during ovulation. This is tested against
the null hypothesis that cervical canal diameter doesn’t
correlate with ovulation changes.
Patients and method
We studied 60 patients in childbearing age who
were examined by transvaginal 2D ultrasound on
menstrual days 7, 11 and 13. Monitoring included
cervical canal diameter and dominant follicle size.
Results:
60 patients in childbearing age (ranging between 18
and 39 years). The mean cervical diameter on day 13
was 2.2083 mm (SD=.80471). the mean diameter of the
dominant follicle on day 13 was 20.7483 mm
(SD=2.73945). a strong positive correlation was found
between the diameter of the cervical canal and the
diameter of the dominant follicle. There is a negative
correlation between patient age and dominant follicle
size on day 13 (P<0.001) and cervical canal diameter on
day 13 (insignificant statistically).
Conclusion
The uterine cervix has cyclic anatomical changes in
non-pregnant women in addition to the known cyclic
changes in endocervical secretions.