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In vitro fertilization is a successful treatment in endometriosis-associated infertility

Fertility and sterility, 2012-04, Vol.97 (4), p.912-918 [Peer Reviewed Journal]

American Society for Reproductive Medicine ;2012 American Society for Reproductive Medicine ;2015 INIST-CNRS ;Copyright © 2012 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. ;ISSN: 0015-0282 ;EISSN: 1556-5653 ;DOI: 10.1016/j.fertnstert.2012.01.112 ;PMID: 22341637 ;CODEN: FESTAS

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Title:
In vitro fertilization is a successful treatment in endometriosis-associated infertility
Author: Opøien, Hans Kristian, M.D ; Fedorcsak, Peter, M.D., Ph.D ; Omland, Anne Katerine, M.D., Ph.D ; Åbyholm, Thomas, M.D., Ph.D ; Bjercke, Sverre, M.D., Ph.D ; Ertzeid, Gudvor, M.D., Ph.D ; Oldereid, Nan, M.D., Ph.D ; Mellembakken, Jan Roar, M.D., Ph.D ; Tanbo, Tom, M.D., Ph.D
Subjects: Adult ; Analysis of Variance ; ASRM stage I-II (minimal/mild) endometriosis ; ASRM stage III-IV (moderate/severe) endometriosis ; Biological and medical sciences ; Birth control ; Chi-Square Distribution ; cohort studies ; Embryo Transfer ; embryology ; Endometriosis - complications ; Fallopian Tube Diseases - complications ; Female ; Female genital diseases ; Fertility Agents, Female - therapeutic use ; Fertilization in Vitro ; Follicle Stimulating Hormone - therapeutic use ; follicle-stimulating hormone ; Gynecology. Andrology. Obstetrics ; human reproduction ; Humans ; Infertility, Female - etiology ; Infertility, Female - physiopathology ; Infertility, Female - therapy ; Internal Medicine ; intracytoplasmic sperm injection ; In vitro fertilization (IVF) ; Live Birth ; live birth rate ; Logistic Models ; Medical sciences ; medicine ; Non tumoral diseases ; Norway ; Obstetrics and Gynecology ; Oocyte Retrieval ; oocytes ; Ovulation Induction ; patients ; Pregnancy ; Pregnancy Rate ; Retrospective Studies ; Severity of Illness Index ; Sperm Injections, Intracytoplasmic ; Sterility. Assisted procreation ; systematic review ; Treatment Outcome ; women
Is Part Of: Fertility and sterility, 2012-04, Vol.97 (4), p.912-918
Description: Objective To assess success rates of IVF and intracytoplasmic sperm injection in women with various stages of endometriosis. Design Retrospective cohort study. Setting Reproductive medicine unit in a university hospital. Patient(s) Infertile women (n = 2,245) with various stages of endometriosis or tubal factor infertility. Intervention(s) IVF or intracytoplasmic sperm injection. Main Outcome Measure(s) Dose of FSH, number of oocytes retrieved, fertilization rate, implantation rate, pregnancy rate (PR), live birth/ongoing PR. Result(s) Women with endometriosis had similar pregnancy and live birth/ongoing PR as did women with tubal factor infertility, but the American Society for Reproductive Medicine (ASRM) stage I and II endometriosis patients had a lower fertilization rate, and stage III and IV patients required more FSH and had fewer oocytes retrieved. Splitting the stage III and IV groups into patients with and without endometriomas showed that the endometrioma group required more FSH and had a significantly lower pregnancy and live birth/ongoing PR. Conclusion(s) With the exception of patients with endometrioma, infertile women with various stages of endometriosis have the same success rates with IVF and intracytoplasmic sperm injection as patients with tubal factor. This contrasts with the systematic review on which the European Society of Human Reproduction and Embryology bases its recommendations.
Publisher: New York, NY: Elsevier Inc
Language: English
Identifier: ISSN: 0015-0282
EISSN: 1556-5653
DOI: 10.1016/j.fertnstert.2012.01.112
PMID: 22341637
CODEN: FESTAS
Source: MEDLINE
Alma/SFX Local Collection

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In vitro fertilization is a successful treatment in endometriosis-associated infertility

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