Window of implantation is significantly displaced in patients with adenomyosis with previous implantation failure as determined by endometrial receptivity assay

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This study determined that patients with adenomyosis and previous implantation failure exhibit a significantly displaced window of implantation compared to controls, as indicated by endometrial receptivity array testing.

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Abstract

BACKGROUND: Adenomyosis is associated with implantation failure and poor reproductive performance in IVF/ICSI cycles. AIMS: To compare if window of implantation (WOI) is displaced in patients having adenomyosis compared to controls using endometrial receptivity array (ERA) test. SETTINGS AND DESIGN: Retrospective Case control study. 374 patients with previous one or more IVF failures who underwent ERA test between 2013-2016 at our centre were enrolled. Patients were divided into two groups; Group A-36 patients with adenomyosis (study group) and Group B- 338 patients without adenomyosis (controls). STATISTICAL ANALYSIS: < 0.05 was considered for statistical significance. RESULTS: < 0.001, CI- 15.5%-47.9%). Pregnancy rate after personalized embryo transfer in adenomyosis group was 62.5%, signifying displaced WOI as a cause of implantation failure in adenomyosis patients with previous implantation failure. CONCLUSIONS: Our study suggests it is prudent to evaluate Endometrial receptivity before embryo transfer in patients with adenomyosis to avoid wastage of good embryos.

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adenomyosis

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europepmc
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