The Outcomes of Invitro Fertilization and Embryo Transfer in Endometriosis-Associated Infertility: A Case Control Study

Alfaina Wahyuni
In: Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019) · 2019 · doi:10.2991/icosihsn-19.2019.10 · W2986514517
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This case control study found that while endometriosis patients had fewer good quality embryos and higher pregnancy failure rates, their in vitro fertilization fertilization rates were similar to non-endometriosis patients.

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This retrospective case-control study compared in vitro fertilization and embryo transfer outcomes between fifty patients with endometriosis-associated infertility and fifty controls with tubal or sperm factor infertility. The researchers analyzed data from the Permata Hati Clinic and Dr. Sardjito Hospital, finding that while fertilization rates were statistically similar between groups, the endometriosis cohort produced significantly fewer high-quality embryos. Furthermore, logistic regression indicated that patients with endometriosis faced a substantially higher risk of pregnancy failure compared to the control group. This paper is centrally about endometriosis — specifically evaluating its impact on assisted reproductive technology success rates and embryo quality.

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The Outcomes of Invitro Fertilization and Embryo Transfer in Endometriosis-Associated Infertility: A Case Control Study - DOI - 10.2991/icosihsn-19.2019.10How to use a DOI? - Keywords - endometriosis, embryo transfer, infertility, in vitro fertilization, pregnancy rate - Abstract The pathophysiology of infertility in endometriosis is still controversial and widely investigated. Several mechanisms are put forward. Whether In Vitro Fertilization-Embryo Transfer (IVF-ET) program in endometriosis is a solution to improve the fertility still needs further studied. Objective : To compare the output of IVF-ET between endometriosis infertility and that of non-endometriosis infertility. Methods : This research is non experimental research with case control design. A retrospective approach with secondary data was conducted in 2017. The samples are fifty endometrial infertility patients and fifty infertility tubal factor and or sperm undergoing IVF-ET program at Permata Hati Clinic, Dr. Sardjito Hospital Yogyakarta. Results : The research output is fertilization rate, i.e. a number of good quality embryo and the success of pregnancy based on pregnancy test. Data analysis was done by statistical test of T test and Chi Square. Multivariate analysis was done by logistic regression. Characteristics of both study groups are similar: in terms of age, BMI, duration of infertility, basal FSH, basal E2, stimulation type and gonadotropin needs. A number of good quality embryos in endometriosis group is lower (2.34 ± 2.33 vs 3.44 ± 2.97; p 0.259). Compared to non-endometriosis, endometriosis group has bigger risk of pregnancy failure (OR 3.758; CI95% 1.11-12.68; p <0.03). Conclusion : There is no difference in fertilization rates between endometriosis and non-endometriosis. The number of good quality embryo on endometriosis group is lower than non-endometriosis. Pregnancy failure on endometriosis group is higher than non-endometriosis group. - Copyright - © 2019, the Authors. Published by Atlantis Press. - Open Access - This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/). Cite this article TY - CONF AU - Alfaina Wahyuni PY - 2019/10 DA - 2019/10 TI - The Outcomes of Invitro Fertilization and Embryo Transfer in Endometriosis-Associated Infertility: A Case Control Study BT - Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019) PB - Atlantis Press SP - 40 EP - 44 SN - 2468-5739 UR - https://doi.org/10.2991/icosihsn-19.2019.10 DO - 10.2991/icosihsn-19.2019.10 ID - Wahyuni2019/10 ER -

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