Pregnancy Rates after Hysteroscopic Endometrial Polypectomy versus Endometrial Curettage Polypectomy: A Retrospective Study
Rattachement africain : jp. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background and Objectives: A relationship between endometrial polypectomy and in vitro fertilization (IVF) pregnancy outcomes has been reported; however, only a few studies have compared polyp removal techniques and pregnancy rates. We investigated whether different polypectomy techniques with endometrial curettage and hysteroscopic polypectomy for endometrial polyps affect subsequent pregnancy outcomes. Materials and Methods: Data from 434 patients who had undergone polypectomy for suspected endometrial polyps using transvaginal ultrasonography before embryo transfer in IVF at four institutions between January 2017 and December 2020 were retrospectively analyzed. Overall, there were 157 and 277 patients in the hysteroscopic (mean age: 35.0 years) and curettage (mean age: 37.3 years) groups, respectively. Single-blastocyst transfer cases were selected from both groups and age-matched to unify background factors. Results: In the single-blastocyst transfer cases, 148 (mean age: 35.0 years) and 196 (mean age: 35.9 years) were in the hysteroscopic and curettage groups, respectively, with the 148 cases matched by age. In these cases, the pregnancy rates for the first embryo transfer were 68.2% (odds ratio (OR): 2.14) and 51.4% (OR: 1.06) in the hysteroscopic and curettage groups, respectively; the resulting OR was 2.03. The pregnancy rates after up to the second transfer were 80.4% (OR: 4.10) and 68.2% (OR: 2.14) in the hysteroscopic and curettage groups, respectively, in which the OR was 1.91. The live birth rates were 66.2% (OR: 1.956) and 53.4% (OR: 1.15) in the hysteroscopic and curettage groups, respectively, in which the odds ratio was 1.71. These results show the effectiveness of hysteroscopic endometrial polypectomy compared to polypectomy with endometrial curettage. No significant difference was found regarding the miscarriage rates between the two groups. Conclusions: Hysteroscopic endometrial polypectomy resulted in a higher pregnancy rate in subsequent embryo transfer than polypectomy with endometrial curettage. Therefore, establishing a facility where polypectomy can be performed hysteroscopically is crucial.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Pregnancy Rates after Hysteroscopic Endometrial Polypectomy versus Endometrial Curettage Polypectomy: A Retrospective Study
- Date Crossref
- 20/10/2023
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Mie University Center of Advanced Reproductive Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Mie University Hospital pays non établi dans la noticeÉtablissement de santé
-
Osaka Nishi Clinic pays non établi dans la noticeÉtablissement de santé
-
Matsunami General Hospital pays non établi dans la noticeÉtablissement de santé
-
Graduate School of Medicine Department of Obstetrics and Gynecology pays non établi dans la noticeUniversité ou école supérieure
-
Faculty of Education pays non établi dans la noticeUniversité ou école supérieure
-
IVF Osaka Clinic Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
-
Kawato Ladies Clinic Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
-
Minoura Ladies Clinic Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
-
Saiseikai Matsusaka General Hospital Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
Center of Advanced Reproductive Medicine — Mie University, Mie University Hospital et Osaka Nishi Clinic, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.