This retrospective cohort study was aimed to investigate the impact of endometriosis on the IVF/ICSI outcomes. A total of 1027 cycles of patients undergoing IVF/ICSI treatment in a reproductive medicine unit of academic hospital were enrolled. In the present study, 431 cycles of patients with endometriosis constituted the study group, including 152 cycles of patients with stage I-II endometriosis and 279 cycles of patients with stage III-IV endometriosis, while 596 cycles of patients with tubal factors infertility were considered as the control group. Ovarian stimulation parameters and IVF/ICSI outcomes were compared. Patients with stage I-II and stage III-IV endometriosis required higher dosage and longer duration of gonadotropins, but had lower day 3 high-quality embryos rate, when compared to patients with tubal infertility. In addition, the number of oocytes retrieved, the number of obtained embryos, the number of day 3 high-quality embryos, serum E2 level on the day of hCG, fertilization rate were lower in patients with stage III-IV endometriosis than those in tubal factors group. Except reduced implantation rate in stage III-IV endometriosis group, no differences were found in other pregnancy parameters. This study suggests that IVF/ICSI yielded similar pregnancy outcomes in patients with different stages of endometriosis and patients with tubal infertility. Therefore, IVF/ICSI can be considered as an effective approach for managing endometriosis-associated infertility.
基金:
National Natural Science Foundation of China [81170619]
第一作者单位:[1]Huazhong Univ Sci & Technol, Reprod Med Ctr, Tongji Med Coll, Tongji Hosp, Wuhan 430030, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol, Reprod Med Ctr, Tongji Med Coll, Tongji Hosp, Wuhan 430030, Peoples R China[*1]Huazhong Univ Sci & Technol, Reprod Med Ctr, Tongji Med Coll, Wuhan 430030, Peoples R China
推荐引用方式(GB/T 7714):
Dong Xiyuan,Liao Xiuhua,Wang Rui,et al.The impact of endometriosis on IVF/ICSI outcomes[J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY.2013,6(9):1911-1918.
APA:
Dong, Xiyuan,Liao, Xiuhua,Wang, Rui&Zhang, Hanwang.(2013).The impact of endometriosis on IVF/ICSI outcomes.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY,6,(9)
MLA:
Dong, Xiyuan,et al."The impact of endometriosis on IVF/ICSI outcomes".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 6..9(2013):1911-1918