Ovarian endometriomas do not adversely affect pregnancy success following treatment with in vitro fertilization

Journal of Assisted Reproduction and Genetics
J D IsaacsB D Cowan

Abstract

Ovarian endometriomas have an uncertain impact on outcome following in vitro fertilization (IVF). Some authors describe a poor response to ovulation induction, and others observe decreased pregnancy success rates. Conversely, IVF outcomes similar to those of patients undergoing IVF for tubal-factor infertility have also been reported. To determine the impact of ovarian endometriomas on pregnancy success in our IVF program, we identified patients with endometriosis and compared outcomes that were stratified by the presence or absence of an endometrioma at the time of follicular aspiration. One hundred eight patients with a diagnosis of endometriosis treated with IVF were identified, retrospectively. In this group, 24 patients completed 29 cycles in which an ovarian endometrioma was aspirated at the time of oocyte retrieval, and 84 patients without endometriomas completed 147 cycles. The cycles from these two groups were compared for differences in peak estradiol, number of mature follicles, number of oocytes, number of embryos transferred, and clinical pregnancies. There were no significant differences between the two groups with respect to peak estradiol, mature follicles, number of oocytes, number of embryos transferred, or cl...Continue Reading

Citations

Dec 13, 2007·Gynecologic and Obstetric Investigation·Banu KumbakAysun Guney
Sep 12, 2007·The Journal of Obstetrics and Gynaecology Research·Koji NakagawaHidekazu Saito
Mar 19, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M A P BarbosaW P Martins
Jun 9, 2001·Current Opinion in Obstetrics & Gynecology·N G Mahutte, A Arici
Sep 13, 2005·Human Reproduction Update·Edgardo SomiglianaPier Giorgio Crosignani
Aug 19, 1999·Clinical Obstetrics and Gynecology·A Dokras, D L Olive
Jun 18, 2011·Reproductive Biology and Endocrinology : RB&E·Francesca BongioanniJan Holte

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