Τίτλος:
Endometrial injury for RIF patients undergoing IVF/ICSI: a prospective nonrandomized controlled trial
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
To evaluate the effect of endometrial injury on clinical outcomes in subfertile women with repeated implantation failures (RIF) undergoing assisted reproduction. In this prospective nonrandomized controlled trial, 103 subfertile women with RIF were included. Fifty-one underwent endometrial injury through hysteroscopy in the early follicular phase of the previous cycle and 52 underwent the standard protocol without any intervention. Live birth and miscarriage were the primary outcomes. Clinical and in vitro fertilization (IVF) cycle characteristics, were also compared between groups. Both groups were comparable in terms of baseline and cycle characteristics. Live birth rates were significantly higher in the study, compared with the control group (18/51 vs. 8/52, odds ratio (OR) = 0.25; 95% confidence interval (CI) = 0.10–0.64; p = 0.020), although miscarriage rates were similar (7/51 vs. 10/52, OR= 0.25; 95%CI= 0.12–0.66; p = 0.452). The rest of the outcomes parameters were comparable between groups. Logistic regression analysis revealed that endometrial injury and duration of subfertility were independent predictors of live birth after control of other variables (OR = 2.818; 95%CI = 1.044–7.605; p = 0.041 and OR = 0.674; 95%CI = 0.461–0.985, p = 0.042, respectively). Endometrial injury induced through office hysteroscopy in the preceding cycle in subfertile women with RIF improves live birth rates. © 2016 Informa UK Limited, trading as Taylor & Francis Group.
Συγγραφείς:
Siristatidis, C.
Kreatsa, M.
Koutlaki, N.
Galazios, G.
Pergialiotis, V.
Papantoniou, N.
Περιοδικό:
Gynecological Endocrinology
Εκδότης:
Taylor and Francis Ltd.
Λέξεις-κλειδιά:
adult; Article; clinical outcome; controlled study; endometrial injury; endometrium; female; female subfertility; human; hysteroscopy; in vitro fertilization; infertility therapy; intracytoplasmic sperm injection; live birth; major clinical study; priority journal; prospective study; repeated implantation failure; spontaneous abortion; tissue injury; treatment failure; birth rate; controlled clinical trial; hysteroscopy; Infertility, Female; ovulation induction; pregnancy; pregnancy rate; procedures; treatment outcome, Adult; Birth Rate; Female; Fertilization in Vitro; Humans; Hysteroscopy; Infertility, Female; Live Birth; Ovulation Induction; Pregnancy; Pregnancy Rate; Prospective Studies; Sperm Injections, Intracytoplasmic; Treatment Outcome
DOI:
10.1080/09513590.2016.1255325
