Pregnancy Outcome after Difficult Embryo Transfer in IVF-ET Cycles
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 2
Abstract
<strong>Background: </strong>Embryo transfer (ET) is one of the most crucial steps in IVF/ICSI treatment. Although it, apparently, seems simple, it is an integral part of IVF/ICSI and can affect the outcome of the whole treatment cycle. The majority of couples (approximately 80%) who undergo IVF reach the ET stage, yet few pregnancies occur. The pregnancy rate after ET is dependent on multiple factors including embryo quality, endometrial receptivity, and the technique of the ET. <strong>Aim of the Work:</strong> The aim of the current study is to investigate the clinical and ongoing clinical pregnancy rates in women who experience difficult embryo transfer (ET) after IVF/ICSI cycle. <strong>Patients and Methods:</strong> This prospective cohort study was conducted at Dar Al-Teb Infertility and IVF Centerbetween January 2017 and January 2018. The study included 417 women planned to undergo ET. <strong>Results:</strong> The biochemical, clinical and ongoing clinical pregnancy rates were significantly lower in women who had difficult ET when compared to women who had easy ET [ORs 0.5, 95% CI (0.31 to 0.83); 0.48, 95% CI (0.29 to 0.79); 0.36, 95% CI (0.21 to 0.62); respectively]. <strong>Conclusion:</strong> Difficult ET is associated with significantly reduced biochemical, clinical and ongoing clinical pregnancy rates. <strong>Recommendations:</strong> ET should be smooth with easy passage of the transfer catheter. Since any uterine manipulation during ET adversely affects IVF results, therefore precaution should be taken to identify possibly difficult ET cases in advance.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583853
- DOI -
- Views 72
- Downloads 0
Doppler Characteristics of Subendometrium and Uterine Hemodynamic Changes in Patients with Copper Intrauterine Device-induced Bleeding
Background: The intrauterine contraceptive device is one of the most frequently used method of contraception allover the world. The most important adverse effects related to copper intrauterine contraceptive device use a...
Detection of Methicillin Resistant Staphylococcus aureus with Reduced Susceptibility to Vancomycin
<strong>Background: </strong>As there is no molecular-based assays available for the detection of hVISA and VISA. However, increasing amounts of data support a number of methods for the screening and confirmation of heter...
Assessment of the Use of Ultrasound in Local Anesthesia for Ophthalmic Surgery
Eye surgery is the most common surgery in the elderly. Many ophthalmic procedures, such as cataract extraction can be performed safely in an outpatient setting, using regional anesthesia and mild sedation. The number of...
The Prevalence of Dysmenorrhea among Women
Menstrual disorders and abnormal uterine bleeding are common worries of young women. Complaints comprise menses that are: too painful (dysmenorrhea), prolonged and heavy (menorrhagia, or excessive uterine bleeding), or a...
Dinoprostone Versus Misoprostol for Cervical Ripening before Diagnostic Hysteroscopy in Nulliparous Women: A Randomized Controlled Trial
<strong>Background: </strong>Hysteroscopy has revolutionized the field of Gynecology and the management of many gynecological conditions. It has now become a standard part in the diagnosis of postmenopausal bleeding by t...