Ovarian endometriomas and oocyte quality: insights from in vitro fertilization cycles

Francesca Filippi, Laura Benaglia, Alessio Paffoni, Restelli L, Liliana Restelli, Paolo Vercellini, Edgardo Somigliana, Luigi Fedele
Fertility and sterility · 2014 · vol. 101(4) , pp. 988–993.e1 · doi:10.1016/j.fertnstert.2014.01.008 · PMID:24602751 · W2045175602
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This study investigated the impact of ovarian endometriomas on oocyte quality during in vitro fertilization cycles and identified key findings related to this association.

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Abstract

ObjectiveTo evaluate whether the presence of endometriomas affects ovarian function.DesignProspective cohort study.SettingInfertility unit of an academic setting.Patient(s)Twenty-nine women undergoing an IVF cycle.Intervention(s)Prospective evaluation of women with unoperated unilateral endometriomas undergoing IVF. The affected and contralateral intact gonads were compared in terms of responsiveness and oocyte quality.Main outcome measure(s)Oocyte developmental competence.ResultsOvarian responsiveness and oocyte quality did not significantly differ between the affected and intact gonads. The number of codominant follicles, the number of oocytes retrieved, and the number of suitable oocytes in affected and intact gonads were 3.7 ± 2.4 and 4.1 ± 1.7, 4.2 ± 3.1 and 4.7 ± 2.5, and 3.1 ± 2.6 and 3.5 ± 2.3, respectively. The number of viable embryos and the number of high-quality embryos were 1.8 ± 2.1 and 1.8 ± 1.4 and 1.0 ± 1.7 and 0.8 ± 0.7, respectively. The fertilization rate in the affected and intact gonads was 64% and 64%, respectively. The cleavage rate was 58% and 51%, respectively. The rate of high-quality embryos was 31% and 21%, respectively.Conclusion(s)In women undergoing IVF, the presence of ovarian endometriomas does not affect oocyte developmental competence.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fertilization in Vitro Infertility, Female Infertility, Female Oocytes Oocytes Ovarian Diseases Adolescent Adult Cohort Studies Endometriosis Female Humans Infertility, Female Oocytes Ovarian Diseases Pregnancy Pregnancy Rate Prospective Studies Treatment Outcome

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