The Impact of Endometriosis on Reproductive Outcomes in ART Cycles

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Ebrahimpoor Motahare; Dehghani Firouzabadi Razieh; Javaheri Atiyeh; Shamsi Farimah; Dashti Saeideh

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Journal Paper

Paper Information

Journal: ADVANCED BIOMEDICAL RESEARCH Year:2024 | Volume:13 | Issue:September Page(s): 1-4

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Title

The Impact of Endometriosis on Reproductive Outcomes in ART Cycles

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Keywords

Assisted reproductive technique; embryo implantation; endometriosis; fertilization; live birth; pregnancy

Abstract

Background: Endometriosis is defined as the existence of endometrial glands and stroma outside the uterine cavity. This disease is responsible for about 15% of the indications for assisted reproductive technologies (ART). Materials and Methods: This study is a retrospective cross-sectional study on 1382 women aged 18-42 who underwent ART in Yazd Reproductive Sciences Institute during 2018-2022. Women were divided into two groups: women with endometriosis (N = 173) and women with a tubal factor or unexplained infertility as the control group (N = 1209). Chemical and clinical pregnancy rates and live birth rates were compared. Results: Women with endometriosis had significantly (P < 0. 001) lower retrieved oocytes (7. 73 ± 5. 52 vs 11. 53 ± 7. 46), metaphase II oocytes (6. 27 ± 4. 72 vs 9. 37 ± 6. 62), and the total number of obtained embryos (3. 95 ± 3. 52 vs 6. 13 ± 5. 02). Chemical (P = 0. 001) and clinical (P = 0. 028) pregnancy rates were lower in women with endometriosis, while live birth rates showed no difference between the two groups (P = 0. 069). Conclusion: The findings of this study showed that endometriosis can disturb reproductive outcomes after ART.

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