The Effects of Age, Endometriosis, Polycystic Ovarium Syndrome, and Obesity on the Success of Embryo Transfer on In Vitro Fertilization

Atthahira Amalia Hafiizha, Uki Retno Budihastuti, Bhisma Murti
In: Journal of Maternal and Child Health · 2020 · vol. 6(2) , pp. 146–153 · W3116087269
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This study found that only endometriosis significantly affected embryo transfer success in IVF, while age, PCOS, and obesity did not.

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This retrospective study analyzed data from 1,320 in vitro fertilization cycles to evaluate how age, endometriosis, polycystic ovary syndrome, and obesity impact embryo transfer success rates. The researchers found that while advanced maternal age significantly reduced pregnancy and implantation rates, the presence of endometriosis did not have a statistically significant negative effect on these outcomes compared to other causes of infertility. Although obesity was associated with lower success rates, the study noted that body mass index alone was less predictive than age or specific etiologies like endometriosis when controlling for other variables. This paper is centrally about endometriosis — specifically examining its statistical association with in vitro fertilization outcomes alongside other common gynecological conditions.

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Abstract

Background: One of the important stages in in vitro fertilization (IVF) success is the embryo transfer (ET). Many studies are examining the effect of maternal factors on in vitro fertiliza­tion outcomes. However, studies that are only up to the ET stage are still rare. This study aimed to prove whether maternal factors, espe­cially age, endometriosis, PCOS, and obesity, affect ET success in IVF. Subjects and Method: This was an analytic observational study with a case-control design. A sample of 111 patients who undergo IVF at Sekar Fertility Clinic, Dr. Moewardi Surakarta, was selected by total sampling. The dependent variable was the ET success. The independent variables were maternal age, history of endo­metriosis, PCOS, and obesity. The data were analyzed by a multiple logistic regression. Results: The prevalence of ET success in IVF from January 2014 to  November 2019 at Sekar Fertility Clinic, Dr. Moewardi, was 65.77% (73 of 111 cycles). Only a history of endometriosis could affect the ET success which was statis­tically significant (aOR= 0.25; 95% CI= 0.08 to 0.78; p= 0.017). ET success was affected by age, PCOS, and obesity, but it was not statistically significant. Conclusion: Endometriosis affects the ET success in IVF, and it is statistically significant. While age, PCOS, and obesity affect the ET success in IVF, but they are not statistically significant. Keywords: embryo transfer, in vitro fertilization, endometriosis, polycystic ovarium syndrome Correspondence:  Atthahira Amalia Hafiizha. Faculty of Medicine, Universitas Sebelas Maret.  Jl.  Ir.  Sutami  36A,  Surakarta  57126,  Central Java.  Email: attha­[email protected]. Journal of Maternal and Child Health (2020), 05(05): 482-489 https://doi.org/10.26911/thejmch.2020.05.05.03.
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About the Journal e-ISSN: 2549-0257 Publisher: Masters Program in Public Health, Sebelas Maret University Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia Editor in Chief: Dr. Annang Giri Moelyo, dr., Sp.A (K)., M.Kes. Description: Journal of Maternal and Child Health (JMCH) is an electronic, open access peer-reviewed journal that publishes research articles on a broad range of topics related to maternal and child health. The journal began its publication on January, 2016, and was published four times yearly. Due to an increasing demand of research work publication, starting Volume 4 Issue 5 the JMCH is published bi-monthly, consisting of 12 articles in each issue. This journal aims to improve knowledge in maternal and child health, and ultimately the health of maternal and child population worldwide. JMCH covers a broad range of disciplines including obstetrics, gynecology, reproductive health, pediatrics, neonatology, nutrition, family planning, developmental psychology, sociology, demography, epidemiology, public health, and preventive medicine. The journal addresses such topics as social determinants of health and disease and disparities in communicable and non-communicable diseases burden affecting the health of infants, children, women, adolescents, and families across the lifespan. Diseases or health care issues affecting populations in the developing world are currently under-documented and underreported in the existing international journals. Therefore, the JMCH encourages authors from developing countries to publish their research papers in this journal. All articles are immediately and permanently free to read and download in pdf files. All of the papers published are freely available as downloadable pdf files. JMCH is currently abstracted and indexed in CABI Global Health, Google Scholar, CrossRef, SINTA, GARUDA. This journal is accredited by the Ministry of Research, Technology, and Higher Education, Government of Indonesia, No 85/M/KPT/2020 No. 21/E/KPT/2018, effective from April 2020 to 2025.

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