In vitro fertilization outcome in women with unoperated bilateral endometriomas
To evaluate IVF outcome in women with unoperated bilateral endometriomas. Multicenter retrospective cohort study. Two infertility units. Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects. Analysis of data from patients who underwent in vitro fertilization (IVF...
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| Published in | Fertility and sterility Vol. 99; no. 6; pp. 1714 - 1719 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.05.2013
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0015-0282 1556-5653 1556-5653 |
| DOI | 10.1016/j.fertnstert.2013.01.110 |
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| Abstract | To evaluate IVF outcome in women with unoperated bilateral endometriomas.
Multicenter retrospective cohort study.
Two infertility units.
Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects.
Analysis of data from patients who underwent in vitro fertilization (IVF)–intracytoplasmic sperm injection.
Ovarian responsiveness and oocyte quality.
Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%–88%) and 71% (63%–79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%–100%) and 70% (57%–100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%–50%) and 33% (20%–43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ.
Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected. |
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| AbstractList | OBJECTIVE: To evaluate IVF outcome in women with unoperated bilateral endometriomas. DESIGN: Multicenter retrospective cohort study. SETTINGS: Two infertility units. PATIENT(S): Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects. INTERVENTION(S): Analysis of data from patients who underwent in vitro fertilization (IVF)–intracytoplasmic sperm injection. MAIN OUTCOME MEASURE(S): Ovarian responsiveness and oocyte quality. RESULT(S): Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%–88%) and 71% (63%–79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%–100%) and 70% (57%–100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%–50%) and 33% (20%–43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ. CONCLUSION(S): Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected. To evaluate IVF outcome in women with unoperated bilateral endometriomas. Multicenter retrospective cohort study. Two infertility units. Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects. Analysis of data from patients who underwent in vitro fertilization (IVF)-intracytoplasmic sperm injection. Ovarian responsiveness and oocyte quality. Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%-88%) and 71% (63%-79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%-100%) and 70% (57%-100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%-50%) and 33% (20%-43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ. Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected. OBJECTIVE: To evaluate IVF outcome in women with unoperated bilateral endometriomas. DESIGN: Multicenter retrospective cohort study. SETTINGS: Two infertility units. PATIENT(S): Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects. INTERVENTION(S): Analysis of data from patients who underwent in vitro fertilization (IVF)–intracytoplasmic sperm injection. MAIN OUTCOME MEASURE(S): Ovarian responsiveness and oocyte quality. RESULT(S): Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%–88%) and 71% (63%–79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%–100%) and 70% (57%–100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%–50%) and 33% (20%–43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ. CONCLUSION(S): Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected. To evaluate IVF outcome in women with unoperated bilateral endometriomas. Multicenter retrospective cohort study. Two infertility units. Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects. Analysis of data from patients who underwent in vitro fertilization (IVF)–intracytoplasmic sperm injection. Ovarian responsiveness and oocyte quality. Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%–88%) and 71% (63%–79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%–100%) and 70% (57%–100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%–50%) and 33% (20%–43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ. Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected. To evaluate IVF outcome in women with unoperated bilateral endometriomas.OBJECTIVETo evaluate IVF outcome in women with unoperated bilateral endometriomas.Multicenter retrospective cohort study.DESIGNMulticenter retrospective cohort study.Two infertility units.SETTINGSTwo infertility units.Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects.PATIENT(S)Thirty-nine women with bilateral endometriomas matched with 78 unexposed control subjects.Analysis of data from patients who underwent in vitro fertilization (IVF)-intracytoplasmic sperm injection.INTERVENTION(S)Analysis of data from patients who underwent in vitro fertilization (IVF)-intracytoplasmic sperm injection.Ovarian responsiveness and oocyte quality.MAIN OUTCOME MEASURE(S)Ovarian responsiveness and oocyte quality.Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%-88%) and 71% (63%-79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%-100%) and 70% (57%-100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%-50%) and 33% (20%-43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ.RESULT(S)Responsiveness to ovarian hyperstimulation was significantly reduced in women with bilateral endometriomas. The total numbers of developing follicles in case and control subjects were 9.6 ± 3.3 and 14.1 ± 6.8, respectively. The numbers of oocytes retrieved were 7.1 ± 3.2 and 9.8 ± 5.5, respectively. Conversely, oocyte retrieval was not hampered by the presence of the ovarian endometriomas. The rates (interquartile range) of oocytes retrieved per total number of developing follicles in case and control subjects were 77% (57%-88%) and 71% (63%-79%), respectively. Moreover, the quality of the retrieved oocytes did not differ. The fertilization rates (IQR) were 67% (56%-100%) and 70% (57%-100%), respectively. The rates (IQR) of top quality embryos per oocyte used were 33% (25%-50%) and 33% (20%-43%), respectively. The implantation rates were 22% and 23%, respectively. The clinical pregnancy rate and the delivery rate also did not differ.Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected.CONCLUSION(S)Although the presence of bilateral endometriomas at the time of IVF affects responsiveness to hyperstimulation, the quality of the oocytes retrieved and the chances of pregnancy are not affected. |
| Author | Somigliana, Edgardo Bermejo, Alfonso Benaglia, Laura Ragni, Guido Fedele, Luigi Garcia-Velasco, Juan A. Faulisi, Sonia |
| Author_xml | – sequence: 1 givenname: Laura surname: Benaglia fullname: Benaglia, Laura email: laurabenaglia@hotmail.it organization: Department of Obstetrics and Gynecology, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy – sequence: 2 givenname: Alfonso surname: Bermejo fullname: Bermejo, Alfonso organization: IVI Madrid, Rey Juan Carlos University, Madrid, Spain – sequence: 3 givenname: Edgardo surname: Somigliana fullname: Somigliana, Edgardo organization: Department of Obstetrics and Gynecology, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy – sequence: 4 givenname: Sonia surname: Faulisi fullname: Faulisi, Sonia organization: Department of Obstetrics and Gynecology, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy – sequence: 5 givenname: Guido surname: Ragni fullname: Ragni, Guido organization: Department of Obstetrics and Gynecology, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy – sequence: 6 givenname: Luigi surname: Fedele fullname: Fedele, Luigi organization: Department of Obstetrics and Gynecology, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy – sequence: 7 givenname: Juan A. surname: Garcia-Velasco fullname: Garcia-Velasco, Juan A. organization: IVI Madrid, Rey Juan Carlos University, Madrid, Spain |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23415975$$D View this record in MEDLINE/PubMed |
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| Copyright | 2013 American Society for Reproductive Medicine American Society for Reproductive Medicine Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
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| Snippet | To evaluate IVF outcome in women with unoperated bilateral endometriomas.
Multicenter retrospective cohort study.
Two infertility units.
Thirty-nine women with... Objective To evaluate IVF outcome in women with unoperated bilateral endometriomas. Design Multicenter retrospective cohort study. Settings Two infertility... OBJECTIVE: To evaluate IVF outcome in women with unoperated bilateral endometriomas. DESIGN: Multicenter retrospective cohort study. SETTINGS: Two infertility... To evaluate IVF outcome in women with unoperated bilateral endometriomas.OBJECTIVETo evaluate IVF outcome in women with unoperated bilateral... |
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| SubjectTerms | Adult animal ovaries Bilateral endometriomas Cohort Studies Endometriosis - diagnosis Endometriosis - epidemiology Female Fertilization in Vitro - methods Fertilization in Vitro - trends Humans in vitro fertilization Internal Medicine IVF Obstetrics and Gynecology oocyte quality Oocyte Retrieval - methods Oocyte Retrieval - trends oocytes patients Pregnancy pregnancy outcome pregnancy rate Pregnancy Rate - trends Retrospective Studies spermatozoa women |
| Title | In vitro fertilization outcome in women with unoperated bilateral endometriomas |
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