https://scholars.lib.ntu.edu.tw/handle/123456789/460241
標題: | Management of endometrial polyps incidentally diagnosed during IVF: a case-control study | 作者: | JEHN-HSIAHN YANG PO-KAI YANG MEI-JOU CHEN SHEE-UAN CHEN YU-SHIH YANG |
公開日期: | 2017 | 卷: | 34 | 期: | 3 | 起(迄)頁: | 285-290 | 來源出版物: | Reproductive BioMedicine Online | 摘要: | An endometrial polyp is a frequently encountered abnormality of the uterine cavity that may interfere with normal embryo implantation. In this case-control study, we enrolled 56 women in whom endometrial polyps were incidentally diagnosed by transvaginal ultrasound and office hysteroscopy during IVF (Group 1), and 112 age-matched IVF controls randomly selected from the same time period (group 2). Cryopreserved embryos were transferred in group 1 whereas fresh embryos were transferred in group 2, which is a limitation of the study. Hysteroscopic polypectomy was carried out for those in group 1, followed by vitrified-warmed embryo transfer 1–7 months later. Results revealed that the clinical pregnancy rate was higher in group 1 than in group 2 (63% versus 41%, P = 0.009), but the embryo implantation rates were not different between the two groups (26% versus 20%). In group 1, pregnancy rates (64%, 69%, and 53% respectively) and embryo implantation rates (30%, 24%, and 23%, respectively) were similar among women that received vitrified-warmed embryo transfer at 1, 2, and 3 months or over after hysteroscopic polypectomy. We conclude that, for women with endometrial polyps incidentally diagnosed during IVF, pregnancy outcomes are not compromised after hysteroscopic polypectomy followed by vitrified-warmed embryo transfer. ? 2016 Reproductive Healthcare Ltd. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/460241 | ISSN: | 1472-6483 | DOI: | 10.1016/j.rbmo.2016.12.012 | SDG/關鍵字: | chorionic gonadotropin beta subunit; estradiol; estradiol valerate; gonadorelin agonist; luteinizing hormone; progesterone; recombinant chorionic gonadotropin; adult; Article; case control study; controlled study; cryopreservation; embryo transfer; endometriosis; endometrium polyp; estradiol blood level; female; female infertility; follicular phase; human; hysteroscopy; in vitro fertilization; incidental finding; luteinizing hormone blood level; major clinical study; nidation; oocyte retrieval; polypectomy; pregnancy outcome; pregnancy rate; progesterone blood level; transvaginal echography; uterus bleeding; uterus cavity; diagnostic imaging; in vitro fertilization; Polyps; pregnancy; procedures; Uterine Diseases; Adult; Case-Control Studies; Embryo Implantation; Embryo Transfer; Female; Fertilization in Vitro; Humans; Hysteroscopy; Polyps; Pregnancy; Pregnancy Rate; Uterine Diseases |
顯示於: | 醫學系 |
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