Title: Local injury to the endometrium improves the pregnancy rate in patients undergoing in vitro fertilization
Abstract: Objectives: To analyse the effect of local injury to the endometrium on the incidence of successful pregnancies in patients undergoing in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI)–embryo transfer (ET). Methods: Seventy-one patients with endometrial polyps or thickening diagnosed by ultrasound. Thirty-five (cases group) were operated on to remove endometrial polyps or thickened endometrium 1–2 weeks before embryo transfer. The remaining 36 patients were not operated on and were used as controls. The outcome of IVF/ICSI–ET in the two groups was evaluated by the rates of embryo implantation, clinical pregnancy and live births. There were no significant differences between the two groups in terms of the age of the patients, duration and reasons for infertility, responses to hormone stimulation and the rate of fertilization, but the rates of embryo implantation, clinical pregnancy and live births in the operation group were 30%, 68.57% and 48.57%, respectively, which were significantly higher than in the control group (6.52%, 13.88% and 11.11%). Conclusion(s): Removal of polyps or thickening significantly improves the incidence of successful pregnancies in patients undergoing in vitro fertilization.
Publication Year: 2004
Publication Date: 2004-09-01
Language: en
Type: article
Indexed In: ['crossref']
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Cited By Count: 9
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