International Journal of
Reproductive Biomedicine
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Volume 21, Issue 9 (September 2023)
IJRM 2023, 21(9): 737-744 |
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Saedi S, Tayebi A, Ghorbani Kahrizsangi M, Jalalinezhad F, Ayati A, Hadizadeh A, et al . Evaluation of the effect of endometrial scratch by hysteroscopic scissors on frozen embryo transfer outcomes: A historical cohort study. IJRM 2023; 21 (9) :737-744
URL: http://ijrm.ir/article-1-3143-en.html
URL: http://ijrm.ir/article-1-3143-en.html
Sara Saedi1 
, Amirhossein Tayebi2 , Maedeh Ghorbani Kahrizsangi1 , Fatemeh Jalalinezhad1 , Aryan Ayati3 , Alireza Hadizadeh3 , Bita Badehnoosh1 , Atousa Karimi * 4
, Amirhossein Tayebi2 , Maedeh Ghorbani Kahrizsangi1 , Fatemeh Jalalinezhad1 , Aryan Ayati3 , Alireza Hadizadeh3 , Bita Badehnoosh1 , Atousa Karimi * 4
1- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.
2- Cardiovascular Research Center, Alborz University of Medical Sciences, Karaj, Iran.
3- Research Center for Advanced Technologies in Cardiovascular Medicine, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
4- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran. ,a75karimi@gmail.com
2- Cardiovascular Research Center, Alborz University of Medical Sciences, Karaj, Iran.
3- Research Center for Advanced Technologies in Cardiovascular Medicine, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
4- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran. ,
Abstract: (450 Views)
Background: Endometrial scratch (ES) has been suggested to improve assisted reproductive techniques success rates by investigating implantation failure.
Objective: In this study, we evaluated the effect of ES on the outcomes of frozen embryo transfer (FET) in women with at least 2 failed embryo transfer cycles.
Materials and Methods: In this historical cohort study, medical data of 236 infertile women who underwent in-vitro fertilization-FET at Ebne-sina Infertility Center, Tehran, Iran, from January 2015-December 2021 was extracted from their medical records. Based on having ES before FET, they were assigned to either the scratch (n = 118) or the no-scratch group (n = 118). We compared these groups regarding pregnancy rates and outcomes.
Results: The demographic characteristics were similar in both groups regarding weight, body mass index, the number of previous embryo transfers, and the duration of infertility. However, the scratch group had a slightly higher mean age (32.31 vs. 29.96 yr, p < 0.001). No statistically significant difference was observed between groups regarding pregnancy rate (p = 0.89). No significant association was observed between scratch, infertility duration, the number of previous FET attempts, and the likelihood of pregnancy in a logistic regression model. No major complications were observed.
Conclusion: Hysteroscopic endometrial scratching with scissors probably has no effect on FET outcomes, including pregnancy or live birth rates.
Objective: In this study, we evaluated the effect of ES on the outcomes of frozen embryo transfer (FET) in women with at least 2 failed embryo transfer cycles.
Materials and Methods: In this historical cohort study, medical data of 236 infertile women who underwent in-vitro fertilization-FET at Ebne-sina Infertility Center, Tehran, Iran, from January 2015-December 2021 was extracted from their medical records. Based on having ES before FET, they were assigned to either the scratch (n = 118) or the no-scratch group (n = 118). We compared these groups regarding pregnancy rates and outcomes.
Results: The demographic characteristics were similar in both groups regarding weight, body mass index, the number of previous embryo transfers, and the duration of infertility. However, the scratch group had a slightly higher mean age (32.31 vs. 29.96 yr, p < 0.001). No statistically significant difference was observed between groups regarding pregnancy rate (p = 0.89). No significant association was observed between scratch, infertility duration, the number of previous FET attempts, and the likelihood of pregnancy in a logistic regression model. No major complications were observed.
Conclusion: Hysteroscopic endometrial scratching with scissors probably has no effect on FET outcomes, including pregnancy or live birth rates.
Type of Study: Original Article |
Subject:
Assisted Reproductive Technologies
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