Congenital complex uterine anomalies carry complex complications: an evaluation of ART outcomes.

IF 2.7 3区医学 Q2 GENETICS & HEREDITY

Journal of Assisted Reproduction and Genetics Pub Date : 2025-10-02 DOI:10.1007/s10815-025-03652-w

Keizra Mecklai, Emily Weidenbaum, Elise Heisler, David McCulloh, M Elizabeth Fino, Christopher Eswar, Jennifer Blakemore

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引用次数: 0

Abstract

Purpose: To examine assisted reproductive technology (ART) outcomes in patients with congenital complex uterine anomalies (CUA) as well as the impact of surgical repair on these outcomes.

Methods: This retrospective cohort study analyzed 46 patients with CUA who underwent 130 embryo transfer cycles at a large academic fertility center from 2000 to 2024. Outcomes were compared between patients who underwent surgical repair and those who did not.

Results: The overall live birth and ongoing pregnancy rate after fresh or frozen embryo transfer was 36.9% (48/130). Cesarean section was the most common mode of delivery (61.7%). Pregnancy complications occurred in 38.3% of live births. Live birth and ongoing pregnancy rates did not differ significantly between patients with and without surgical repair (32.6% vs. 39.2%, p = 0.57).

Conclusions: Patients with complex uterine anomalies experience lower live birth rates compared to the center's average and face a high risk of pregnancy complications. Surgical repair of CUA does not significantly improve ART outcomes. Personalized counseling regarding goals and risks is crucial for CUA patients undergoing ART.

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先天性复杂子宫异常携带复杂的并发症：ART结果的评估。

目的：探讨辅助生殖技术（ART）治疗先天性复杂子宫畸形（CUA）的效果及手术修复对其的影响。方法：本回顾性队列研究分析了2000年至2024年在一家大型学术生育中心接受130个胚胎移植周期的46例CUA患者。结果比较了接受手术修复的患者和未接受手术修复的患者。结果：新鲜或冷冻胚胎移植后总活产率和持续妊娠率为36.9%（48/130）。剖宫产是最常见的分娩方式（61.7%）。妊娠并发症发生率为38.3%。接受和未接受手术修复的患者的活产率和持续妊娠率无显著差异（32.6%对39.2%,p = 0.57）。结论：与该中心的平均水平相比，复杂子宫异常患者的活产率较低，妊娠并发症的风险较高。手术修复CUA不能显著改善ART结果。关于目标和风险的个性化咨询对于接受ART治疗的CUA患者至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Assisted Reproduction and Genetics 医学-妇产科学

CiteScore

5.70

自引率

9.70%

发文量

286

审稿时长

1 months

期刊介绍： The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species. The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.