Reproductive Outcomes of Segmented In Vitro Fertilization in Patients Diagnosed with Endometriomas

Ozgur K, Kemal Ozgur, Kemal Özgür, Hasan Bulut, Murat Berkkanoglu, Murat Berkkanoğlu, Kevin Coetzee
Journal of Minimally Invasive Gynecology · 2017 · vol. 25(1) , pp. 105–110 · doi:10.1016/j.jmig.2017.06.030 · PMID:28822715 · W2747438207
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This study investigated the pregnancy and live birth rates of patients with endometriomas undergoing segmented in vitro fertilization protocols.

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Abstract

STUDY OBJECTIVE: To assess the impact of ovarian endometriomas on endometrial receptivity in frozen embryo transfer (FET) of segmented in vitro fertilization (IVF) cycles. DESIGN: Retrospective, matched-control study (Canadian Task Force classification II-2). SETTING: A single, private assisted-reproduction technology center. PATIENTS: Thirty patients diagnosed with unilateral or bilateral endometriomas were compared with 60 patients without endometriomas in a population of 1894 patients who underwent segmented IVF treatment between September 2014 and September 2016. INTERVENTION: Intracytoplasmic sperm injection with blastocyst freeze-all and FET. MEASUREMENTS AND MAIN RESULTS: The primary endpoint of the study was a viable pregnancy (>14 weeks). The mean diameter of diagnosed endometriomas was 25.7 ± 10.6 mm. The median antral follicle count was significantly lower in the endometrioma group compared with the entire study population (11.5; interquartile range [IQR], 6.0-17.0 vs 14.0; IQR, 9.0-22.0; p = .042). The median number of mature ovarian follicles (≥14 mm) per antral follicle that developed during controlled ovarian stimulation was not significantly different between the groups (11.0 [IQR, 5.8-14.3] vs 10.0 [IQR, 6.0-15.8]; p = .908); however, the median number of oocytes retrieved was lower in the endometrioma group (11.5 [IQR, 6.0-21.5] vs 13.5 [IQR, 9.0-20.8]; p = .373). The biochemical pregnancy, implantation, and ongoing pregnancy rates were not significantly different between the endometrioma and control groups. CONCLUSION: Although ovarian endometriomas result in reduced ovarian reserve and oocyte retrieval, their impact on reproductive outcome is limited with FET.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fertilization in Vitro Pregnancy Outcome Pregnancy Outcome Pregnancy Outcome Uterine Diseases Adult Adult Case-Control Studies Case-Control Studies Embryo Implantation Embryo Implantation Embryo Implantation Embryo Transfer Embryo Transfer Embryo Transfer Embryo Transfer Endometriosis Endometriosis Endometriosis

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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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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