Endometrial scratching during hysteroscopy in women undergoing in vitro fertilization: a systematic review and meta-analysis

Autor: Evangelos Papanikolaou, Nikolaos Peitsidis, Ioannis Tsakiridis, Georgios Michos, Antonios Skalias, Dimitrios Patoulias, Alexandros Poutoglidis, Apostolos Mamopoulos, Apostolos Athanasiadis, Grigorios Grimpizis, Robert Najdecki
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Surgery, Vol 10 (2023)
Druh dokumentu: article
ISSN: 2296-875X
DOI: 10.3389/fsurg.2023.1225111
Popis: ObjectiveEndometrial scratching (ES) during hysteroscopy before embryotransfer (ET) remains doubtable on whether it benefits the reproductive outcomes. The optimal technique is not clear and repeated implantation failure as a challenging field in in vitro fertilization (IVF) seems to be the springboard for clinicians to test its effectiveness.MethodsMedline, PMC, ScienceDirect, Scopus, CENTRAL, Google Scholar were searched from their inception up to April 2023 for studies to evaluate the effectiveness of adding endometrial scratching during hysteroscopy before ET.ResultsThe initial search yielded 959 references, while 12 eligible studies were included in the analyses, involving 2,213 patients. We found that hysteroscopy and concurrent ES before ET resulted in a statistically significant improvement in clinical pregnancy rate (CPR) [RR = 1.50, (95% CI 1.30–1.74), p
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