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Outcome of patients with endometriosis in assisted reproduction: results from in-vitro fertilization and oocyte donation
Abstract
A retrospective analysis of our in-vitro fertilization (IVF) and oocyte donation programmes was carried out in order to gain clinical knowledge of the factors involved in the aetiology of the endometriosis-associated infertility. Comparison between the IVF outcomes from 96 cycles in 78 patients with tubal infertility and from 96 cycles in 59 women with endometriosis indicates that endometriosis patients have a poor IVF outcome in terms of reduced pregnancy rate per cycle (P < 0.0004), reduced pregnancy rate per transfer (P < 0.002), and reduced implantation rate (P < 0.003). The analysis of patients undergoing oocyte donation for different reasons, including low response with or without endometriosis, showed that patients with this disease have the same chances of implantation and pregnancy as other recipients when the oocytes came from donors without known endometriosis. However, when the results of oocyte donation were classified according to the origin of the oocytes donated, patients who received embryos derived from endometriotic ovaries showed a significantly (P < 0.05) reduced implantation rate as compared to the remaining groups. Taken together, all these observations suggest that infertility in endometriosis patients may be related to alterations within the oocyte, which in turn result in embryos with decreased ability to implant.
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“Moreover, clinical studies with oocyte donation do not support a generally impeded implantation in women with endometriosis [84].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [84]
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Zondervan, K. T., Becker, C. M., Koga, K., Missmer, S. A., Taylor, R. N., & Viganò, P. (2018) · Nature Reviews Disease Primers · doi:10.1038/s41572-018-0008-5 · Cited by 1,257
Effect of endometriosis on in vitro fertilization
Barnhart, K. T., Dunsmoor-Su, R. F., & Coutifaris, C. (2002) · Fertility and Sterility · doi:10.1016/s0015-0282(02)03112-6 · Cited by 805
Factors that affect outcome of in-vitro fertilisation treatment
Templeton, A. A., Morris, J. K., & Parslow, W. (1996) · The Lancet · doi:10.1016/s0140-6736(96)05291-9 · Cited by 709
Pathogenic mechanisms in endometriosis-associated infertility
Gupta, S., Goldberg, J. M., Aziz, N., Goldberg, E., Krajcir, N., & Agarwal, A. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2008.02.093 · Cited by 409
“Endometriosis and infertility oocyte donors with endometriosis establish pregnancies at lower rates than normal donors (83, 89).”
BackgroundThe pathophysiology of endometriosis and adenomyosis, tissue injury and repair
Leyendecker, G., Wildt, L., & Mall, G. (2009) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-009-1191-0 · Cited by 418
“Moreover, clinical studies with oocyte donation do not support a generally impeded implantation in women with endometriosis [84].”
Background
Metadata
- Authors
- Simón, C., Gutiérrez, A., Vidal, A., de los Santos, M. J., Tarín, J. J., Remohí, J., & Pellicer, A.
- Affiliations
- Universitat de València (ES)
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 1994-04
- Volume
- 9
- Issue
- 4
- Pages
- 725-729
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2151618269
- Cited by
- 374
- References
- 0
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 14 · 2023: 18 · 2022: 12 · 2021: 14 · 2020: 14 · 2019: 17 · 2018: 11 · 2017: 18 · 2016: 12 · 2015: 14 · 2014: 13 · 2013: 14 · 2012: 19
- FWCI
- 7.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- endometriosis, endometriosis-associated infertility, IVF outcomes, oocyte donation, tubal infertility, implantation rate, oocyte quality
- MeSH terms
- Adult, Embryo Transfer, Endometriosis, Female, Fertilization in Vitro, Humans, Infertility, Female, Oocytes, Embryo Implantation, Pregnancy, Retrospective Studies, Tissue Donors
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