Effect of Pelvic Endometriosis, Endometriomas and Recurrent Endometriomas on IVF-ET/ICSI Outcomes

Weijie Xing, Haiyan Lin, Zexuan Wu, Yu Li, Qingxue Zhang
Materia socio-medica · 2016 · vol. 28(2) , pp. 91 · doi:10.5455/msm.2016.28.91-94 · PMID:27147911 · PMC4851495 · W2303800607
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Pelvic endometriosis negatively impacted ovarian reserve less than endometriomas, and transvaginal aspiration did not improve IVF outcomes for recurrent endometriomas.

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Abstract

INTRODUCTION: Endometriosis, the most common gynecological disorder, is a challenging disease observed in 20% - 40% of subfertile women. MATERIAL AND METHODS: 380 women were divided into four groups. Group A consisted of 176 women with pelvic endometriosis. Group B consisted of 125 women who had previously undergone a laparoscopic endometrioma cystectomy. Group C consisted of 38 women with recurrent endometriomas without aspiration before IVF-ET/ICSI. Group D consisted of 41 women with recurrent endometriomas undergone aspiration before IVF-ET/ICSI. RESULTS: Baseline FSH level (8.61 ± 3.42 mIU/mL) and total dose of Gn (2337.15 ± 853.00 IU) in Group A were the lowest (p < 0.05). The number of retrieved oocytes in Group B (7.98 ± 5.05) was significantly fewer than those in Group A and D (p < 0.05). The numbers of MII oocytes in Groups A, C and D were significantly larger than that in Group B. The number of retrieved oocytes, high-quality embryos, implantation and pregnancy rates were similar in Groups C and D. CONCLUSIONS: Pelvic endometriosis had a less adverse effect on ovarian reserve than endometrioma. No advantage was found in transvaginal aspiration for recurrent endometriomas before IVF-ET/ICSI.

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endometriosisendometrioma

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