Autor: |
Tian Y; Center for Reproductive Medicine, Shandong University, Jinan 250100, China.; Key Laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan 250100, China.; Shandong Key Laboratory of Reproductive Medicine, Jinan 250012, China.; Medical Integration and Practice Center, Shandong University, Jinan 250100, China.; Gynecology Department, Reproductive Hospital Affiliated to Shandong University, Jinan 250001, China., Zhao S; Center for Reproductive Medicine, Shandong University, Jinan 250100, China.; Key Laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan 250100, China.; Shandong Key Laboratory of Reproductive Medicine, Jinan 250012, China.; Medical Integration and Practice Center, Shandong University, Jinan 250100, China.; Gynecology Department, Reproductive Hospital Affiliated to Shandong University, Jinan 250001, China., Lv J; Center for Reproductive Medicine, Shandong University, Jinan 250100, China.; Key Laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan 250100, China.; Shandong Key Laboratory of Reproductive Medicine, Jinan 250012, China.; Medical Integration and Practice Center, Shandong University, Jinan 250100, China.; Gynecology Department, Reproductive Hospital Affiliated to Shandong University, Jinan 250001, China., Lv H; Center for Reproductive Medicine, Shandong University, Jinan 250100, China.; Key Laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan 250100, China.; Shandong Key Laboratory of Reproductive Medicine, Jinan 250012, China.; Medical Integration and Practice Center, Shandong University, Jinan 250100, China.; Gynecology Department, Reproductive Hospital Affiliated to Shandong University, Jinan 250001, China., Yan L; Center for Reproductive Medicine, Shandong University, Jinan 250100, China.; Key Laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan 250100, China.; Shandong Key Laboratory of Reproductive Medicine, Jinan 250012, China.; Medical Integration and Practice Center, Shandong University, Jinan 250100, China.; Gynecology Department, Reproductive Hospital Affiliated to Shandong University, Jinan 250001, China. |
Abstrakt: |
During controlled ovarian hyperstimulation (COH), cystic anechoic zones in the uterine cavity are occasionally visible. This retrospective matched cohort study collected information on patients who underwent in vitro fertilization/intracytoplasmic injection (IVF/ICSI) from January 2014 to December 2020 at our center. The propensity score algorithm matched 179 cases that had uterine cystic anechoic zones, with 358 which did not have uterine cystic anechoic zones cases. After matching, the live birth rate (38.0% vs. 48.6%, p = 0.025) of patients with uterine cystic anechoic zones was lower than that in the no uterine cystic anechoic zone group, while for clinical pregnancy miscarriage rate (22.2% vs. 12.4%, p = 0.031), the rate was higher. The results showed no correlation in the association between live birth rate (r = −0.027, p = 0.718), clinical pregnancy rate (r = −0.037, p = 0.620) or biochemical pregnancy rate (r = −0.015, p = 0.840) and the diameters of the cystic anechoic zones in the uterine cavity. There was a significant difference in the type of endometrium between the two groups (p < 0.001). The result of this study can provide guidance to patients on whether to undergo fresh embryo transfer in the current cycle. |