The Impact of Transcutaneous Electrical Nerve Stimulation (TENS) on Endometrial Thickness in the Healthy Women, A Step to Improve the Female Fertility

Abstract

Objective: To determine the physiotherapeutic effect of TENS on endometrial lining thickness in healthy women at their childbearing age. Methods: This is a prospective randomized controlled clinical trial including 46 healthy women within their childbearing age during the first year of their marriage. Uterine blood flow and endometrial thickness (ET) are measured at day 13 of MC before TENS application and at the same day of the next cycle after 6 sessions of TENS were applied. Results: TENS significantly increases endometrial thickness from 5.80±0.24mm to 7.60±1.57mm. This has a beneficial effect to increase the rate of pregnancy as it properly prepares of the uterine lining for implantation of fertilizing ova mediated by the reduction of both resistance and pulsatility indices of uterine arteries. These findings were there regardless age and BMI of the participants. Conclusion: There are beneficial effects of TENS to increase endometrial thickness in healthy women at their childbearing age.