Impact of endometrial cavity fluid on assisted reproductive technology outcomes

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Shan LiuJuanzi Shi

Abstract

The impact of endometrial cavity fluid (ECF) on assisted reproductive technology (ART) outcomes has not been evaluated in a meta-analysis. To evaluate the impact of ECF on the outcome of ART cycles. PubMed, China Academic Journals Full-text Database, and China Doctoral/Masters Dissertations Full-text Databases were searched for reports published in any language before January 1, 2015, using relevant keywords. Studies were included if they compared the outcome of ART in women with and without ECF. Background information, participants' characteristics, and study outcomes were recorded. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using the Mantel-Haenszel method. Six studies evaluating 5928 ART cycles were included. The pregnancy rate was significantly lower in the group with ECF than in the group without ECF (OR 0.74, 95% CI 0.55-0.98; P=0.03). The same association was observed if the analysis included only patients with hydrosalpinx (OR 0.36, 95% CI 0.15-0.86; P=0.02). The clinical pregnancy rate after ART is significantly lower among patients with ECF than among those without ECF. In addition, if ECF is found in patients with hydrosalpinx, ART cycles should be cancelled after oocyte retrieval.

References

Jun 1, 1991·Journal of in Vitro Fertilization and Embryo Transfer : IVF·R T MansourR Riad
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Mar 1, 1996·Human Reproduction·F I ShararaJ T Queenan
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May 1, 2002·Human Reproduction·Annika Strandell, Anette Lindhard
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Aug 9, 2002·Journal of Assisted Reproduction and Genetics·Anthony N GriffithsLucas D Klentzeris
Aug 22, 2003·Reproductive Biomedicine Online·M H van der GaastN S Macklon
Nov 6, 2004·Journal of Assisted Reproduction and Genetics·Annika StrandellAnn Wallin
May 15, 2010·Reproductive Biology and Endocrinology : RB&E·Rong-Huan HeXiao-Ming Zhu
Apr 21, 2011·Current Opinion in Obstetrics & Gynecology·Rong-Huan He, Xiao-Ming Zhu

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Citations

Jul 3, 2021·Journal of Clinical Medicine·Lewis NancarrowDharani K Hapangama
Jul 12, 2021·Fertility and Sterility·Alex J Knutson, Stephanie J Estes

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