Effect of fibroids not distorting the endometrial cavity on the outcome of in vitro fertilization treatment A retrospective cohort study

A retrospective cohort study demonstrates that intramural fibroids with diameter larger than 2.85 cm have a negative effect on in vitro fertilization/intracytoplasmic sperm injection delivery rates.

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Authors

Lei Yan, M.D., Lingling Ding, M.D., Chunyan Li, M.D., Yu Wang, Rong Tang, M.D., Ph.D., Zi-Jiang Chen, M.D.Ph.D.

Volume 101, Issue 3, Pages 716-721.e6, March 2014

Abstract

Objective:

To investigate the effect of fibroids that do not distort the endometrial cavity on IVF/intracytoplasmic sperm injection (ICSI) outcomes and to identify certain fibroid subgroups that may be deleterious to fertility outcomes.

Design:

Retrospective cohort study.

Setting:

University-based reproductive medicine center.

Patient(s):

A total of 10,268 patients undergoing IVF/ICSI between 2009 and 2011 in our unit.

Intervention(s):

Transvaginal ultrasound and hysteroscopy; controlled ovarian hyperstimulation and IVF/ICSI; strict matching criteria.

Main Outcome Measure(s):

Cycle cancellation, clinical pregnancy, miscarriage, and delivery rates.

Result(s):

We included 249 patients with fibroids who underwent IVF/ICSI. Higher day 3 FSH levels were found in women with fibroids compared with in control subjects. No significant differences were found in IVF/ICSI outcomes between the two groups. Patients with intramural fibroids with the largest diameter

Conclusion(s):

Our results suggest that although non-cavity-distorting fibroids do not affect IVF/ICSI outcomes, intramural fibroids greater than 2.85 cm in size significantly impair the delivery rate of patients undergoing IVF/ICSI.

Read the full text at: http://www.fertstert.org/article/S0015-0282(13)03283-4/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.