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Cited by 527

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Uterine contractions at the time of embryo transfer alter pregnancy rates after in-vitro fertilization

Fanchin, R., Righini, C., Olivennes, F., Taylor, S., de Ziegler, D., Frydman, R.·1998·Human Reproduction

Abstract

To investigate the possible consequences of uterine contractions (UC) as visualized by ultrasound (US) on in-vitro fertilization (IVF)-embryo transfer outcome, we studied prospectively 209 infertile women undergoing 220 cycles of controlled ovarian stimulation. Inclusion criteria were age < or = 38 years, a morphologically normal uterus, and at least three good quality embryos transferred. Just before embryo transfer, women underwent 5 min digital recordings of the uterus using US image analysis software for UC assessment. Plasma progesterone and oestradiol concentrations were measured. Four groups were defined according to UC frequency: < or = 3.0 (n = 53), 3.1-4.0 (n = 50), 4.1-5.0 (n = 43), and > 5.0 (n = 74) UC/min respectively. Patients, controlled ovarian hyperstimulation and embryology characteristics were comparable in all groups. A stepwise decrease in clinical and ongoing pregnancy rates as well as in implantation rates occurred from the lowest to the highest UC frequency groups (53, 36, 21; 46, 32, 20; 23, 19, 10; and 14, 11, 4%; P < 0.001). Plasma progesterone and UC frequency were negatively correlated (r = -0.34, P < 0.001). Direction of UC did not affect embryo transfer outcome. As this study was controlled strictly for confounding variables and UC were assessed objectively by a computerized system, its results indicate that high frequency UC on the day of embryo transfer hinder IVF-embryo transfer outcome, possibly by expelling embryos out of the uterine cavity. The negative correlation between UC frequency and progesterone concentrations supports the uterine relaxing properties of progesterone.

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Crossref · 10.1093/humrep/13.7.1968

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Metadata

Authors
Fanchin, R., Righini, C., Olivennes, F., Taylor, S., de Ziegler, D., & Frydman, R.
Venue
Human Reproduction
Published
1998-07-01
Volume
13
Issue
7
Pages
1968-1974
ISSN
  • 0268-1161 (ISSN-L)
  • 1460-2350
OpenAlex
W2122148434
Cited by
527
References
19
FWCI
15.03
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Uterine contractions at the time of embryo transfer alter pregnancy rates after in-vitro fertilization. https://app.cochat.ai/papers/10.1093/humrep/13.7.1968
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Fanchin, R., Righini, C., Olivennes, F., Taylor, S., de Ziegler, D., & Frydman, R. (1998). Uterine contractions at the time of embryo transfer alter pregnancy rates after in-vitro fertilization. Human Reproduction. https://doi.org/10.1093/humrep/13.7.1968

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