The influence of endometriosis on the success of gamete intrafallopian transfer (GIFT)
Endometriosis patients showed decreased ovarian response to stimulation and fewer oocytes retrieved, but maintained comparable GIFT pregnancy success rates to controls.
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The study evaluated outcomes of gamete intrafallopian transfer (GIFT) in 108 GIFT cycles performed for an endometriosis indication, compared with 156 GIFT cycles performed for other disease indications, using controlled ovarian hyperstimulation with up to seven oocytes transferred and prepared sperm. Although women with endometriosis showed progressively reduced ovarian response and fewer retrieved oocytes with increasing endometriosis severity, clinical pregnancy rates (40.4%, 36.7%, 41.7%), multiple pregnancy rates (34.9%, 27.3%, 45.0%), and early pregnancy loss rates (27.0%, 18.2%, 30.0%) did not differ significantly across endometriosis severity categories or versus nonendometriosis after multivariable adjustment for age, tubal health, active endometriosis/endometriomas, oocyte number, and sperm quality. The authors note that because the number of oocytes needed for GIFT is limited, comparable pregnancy results were observed despite reduced ovarian response. This paper is centrally about endometriosis — it analyzes how endometriosis influences ovarian response and pregnancy outcomes after GIFT.
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References (19)
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Cited by (8)
- Reproductive, obstetric, and perinatal outcomes of women with adenomyosis and endometriosis: a systematic review and meta-analysis 2019
- Endometriosis and ART 2012
- Assessment of oocyte and embryo quality in women with endometriosis 2010
- Assessment of Oocyte and Embryo Quality in Women with Endometriosis 2010
- Stérilité par endométriose 2007
- Impact of ovarian endometrioma on assisted reproduction outcomes 2006
- Endometriosis and Inflammation in Infertility 2004
- New advances in the understanding of endometriosis related infertility 2002
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