Endometriosis does not impact live-birth rates in frozen embryo transfers of euploid blastocysts
Open accessAbstract
Objective To determine whether subfertility in patients with endometriosis is due to impaired endometrial receptivity by comparing pregnancy and live-birth outcomes in women with endometriosis versus two control groups without suspected endometrial factors: noninfertile patients who underwent assisted reproduction to test embryos for a single-gene disorder and couples with isolated male factor infertility.Design Retrospective cohort.Setting Multicenter private practice.Patient(s) All patients aged 24 to 44 years undergoing euploid frozen blastocysts transfer from January 2016 through March 2018.Intervention(s) None.Main outcome measure(s) Live birth, clinical pregnancies, pregnancy losses, and aneuploid rates in preimplantation genetic testing for aneuploidy cycles.Result(s) The analysis included 459 euploid frozen embryo transfer cycles among 328 unique patients. There were no differences in clinical pregnancy, pregnancy loss, or live-birth rates in patients with endometriosis compared with both control groups. The aneuploidy rates were lowest in the preimplantation genetic testing for monogenic disorders cohort, and the endometriosis patients had aneuploidy rates similar to those of the male factor infertility patients.Conclusion(s) It is unclear whether endometriosis primarily affects in vitro fertilization outcomes via oocyte quality or the endometrium. By controlling for embryo quality using euploid frozen embryo transfer cycles, we found no difference in pregnancy outcomes in patients with endometriosis compared with patients undergoing treatment for male factor infertility and noninfertile patients.
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The studies showing unaltered outcomes after euploid blastocyst transfer all used hormone replacement cycles with intramuscular progesterone.
“However, it is important to note that all these latter studies report transfers of euploid blastocysts conducted in hormone replacement cycles using progesterone administered by intramuscular injections.”
From Endometrial receptivity in adenomyosis and/or endometriosis (2023) · cites this paper as [50]
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Reply of the authors: Endometrial receptivity in adenomyosis and/or endometriosis
Pirtea, P., de Ziegler, D., & Ayoubi, J. M. (2023) · Fertility and Sterility · doi:10.1016/j.fertnstert.2023.07.015 · Cited by 1 · see citing works
Definition of the experimental and CFD test matrix
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Endometriosis and reproductive failures
Izumi, G., Koga, K., & Osuga, Y. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-90805-4.00004-3
Lebovic, D. I., & Falcone, T. (2022) · Springer eBooks · doi:10.1007/978-3-030-99596-6_24
Endometriosis. Is spontaneous pregnancy possible with ovarian endometriosis?
СЛОБОДЯНИК, О. Я., Demyanenko, A. S., Kostenko, O. Y., Poladych, I. V., & Гужевська, І. В. (2022) · Reproductive health of woman · doi:10.30841/2708-8731.6.2022.267682
Assisted Reproductive Technologies (ART) Failures: Is It the Seed or the Soil?
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- Authors
- Bishop, L. A., Gunn, J., Jahandideh, S., Devine, K., Decherney, A. H., & Hill, M. J.
- Affiliations
- National Institutes of Health (US)
- Uniformed Services University of the Health Sciences (US)
- Shady Grove Fertility Center (US)
- Walter Reed National Military Medical Center (US)
- Corresponding author
- Bishop, Lauren A.
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 115
- Issue
- 2
- Pages
- 416-422
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2975762679
- Cited by
- 84
- References
- 26
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 21 · 2023: 21 · 2022: 13 · 2021: 5 · 2020: 2
- FWCI
- 9.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- endometriosis, frozen embryo transfer, live birth rate, endometrial receptivity, euploid blastocysts, preimplantation genetic testing for aneuploidy, embryo aneuploidy, male factor infertility, subfertility, pregnancy outcomes
- MeSH terms
- Adult, Birth Rate, Blastocyst, Embryo Transfer, Endometriosis, Female, Humans, Pregnancy, Retrospective Studies, Cohort Studies, Cryopreservation, Embryo Culture Techniques, Live Birth, Young Adult
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