Impact of moderate-to-severe endometriosis on IVF cumulative live birth rate: a retrospective matched cohort study

Appoline Zimmermann, Cindy Faust, Miquel L, Laura Miquel, Berbis J, Julie Berbis, Perrin J, Jeanne Perrin, Courbiere B, Blandine Courbière, Blandine Courbiere
Reproductive BioMedicine Online · 2023 · vol. 47(3) , pp. 103186 · doi:10.1016/j.rbmo.2023.02.012 · PMID:37429766 · W4323030966
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This study investigated the impact of moderate-to-severe endometriosis on cumulative live birth rates in patients undergoing in vitro fertilization.

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I can’t access the paper text you provided because it appears blocked by an anti-bot “Anubis” page, so no study methods, results, or limitations are available to summarize. Relevance to endometriosis: the title and requested topic explicitly involve endometriosis and its effect on IVF cumulative live birth rate, but the full paper content was not retrievable in this message, so the findings cannot be reported. This paper is centrally about endometriosis — its stated focus is the impact of moderate-to-severe endometriosis on IVF cumulative live birth rate.

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Abstract

RESEARCH QUESTION: Does moderate-to-severe endometriosis have an impact on cumulative live birth rates (cLBR) and IVF outcomes? DESIGN: In this retrospective matched cohort study, women with moderate-to-severe endometriosis undergoing IVF or intracytoplasmic sperm injection treatment from January 2015 to December 2020 were matched 1:2 to women with other causes of infertility (control group). The main outcome was cLBR per cycle and per woman, and secondary outcomes were number of oocytes retrieved and number of mature oocytes, fertilization rate, total number of embryos and usable embryos, implantation rate, clinical pregnancy rate and miscarriage rate per cycle. RESULTS: In total, 195 women with endometriosis were matched with 390 women without endometriosis (323 and 646 cycles, respectively). Women with endometriosis had significantly fewer oocytes retrieved than women in the control group (P=0.003) despite higher doses of gonadotropins, but had a similar number of mature oocytes, fertilization rate, and total number of embryos and usable embryos. cLBR per cycle and per women did not differ significantly between the endometriosis group and the control group (19.8% versus 24.3%, P = 0.12; 32.3% versus 37.2%, P = 0.24, respectively). In women with endometrioma, a history of cystectomy did not impact cLBR per cycle (28.3% versus 31.9%, P = 0.68). We did not observe any significant impact of tobacco use in the endometriosis group compared with the control group (16.4% versus 25.9%, P = 0.13). CONCLUSION: This matched cohort study did not observe a significant impact of moderate-to-severe endometriosis on cLBR among women undergoing IVF. These data are reassuring for the counselling of infertile women with endometriosis before IVF.
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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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