Does hysteroscopic resection of polyps require cycle cancellation in women undergoing controlled ovarian hyperstimulation in the ICSI cycle?

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-09-23 DOI:10.4274/tjod.galenos.2022.79363

Serkan Oral

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Abstract

Objective: Endometrial polyps are one of the most extensive pathologies in the uterus and can be detected incidentally during assisted reproductive therapy in asymptomatic women.

Materials and methods: In patients planned for in vitro fertilization or intracytoplasmic sperm injection (ICSI) treatment, embryo freezing, or cycle cancelation options are mandatory in many clinics when detected at the beginning of the cycle. In our study, in ICSI treatment, patients with a single endometrial polyp smaller than 1.5 cm, who underwent hysteroscopic polyp resection at the beginning of the cycle and underwent fresh embryo transfer without canceling the treatment (n=31), and patients with the same characteristics of endometrial polyp who underwent hysteroscopic polyp resection before the cycle (n=34) are compared within the pregnancy, abortion and live birth rates.

Results: As a result, no statistical difference was found between the two groups' pregnancy, abortion, and live birth rates.

Conclusion: Hysteroscopic resection of polyps during ovarian stimulation in ICSI treatment does not affect pregnancy and live birth rates and may eliminate the necessity of freezing.

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宫腔镜切除息肉是否需要在ICSI周期中控制卵巢过度刺激的妇女取消周期?

目的:子宫内膜息肉是子宫内最广泛的病变之一，在无症状妇女辅助生殖治疗中可被偶然发现。材料和方法:对于计划进行体外受精或卵胞浆内单精子注射(ICSI)治疗的患者，胚胎冷冻或在周期开始时检测到的周期取消选项在许多诊所是强制性的。在我们的研究中，在ICSI治疗中，将单个小于1.5 cm的子宫内膜息肉患者在周期开始时行宫腔镜息肉切除术，在不取消治疗的情况下进行新鲜胚胎移植(n=31)，与具有相同特征的子宫内膜息肉患者在周期前行宫腔镜息肉切除术(n=34)进行妊娠、流产和活产率的比较。结果:两组妊娠率、流产率、活产率无统计学差异。结论:在ICSI治疗中，卵巢刺激术中宫腔镜切除息肉不影响妊娠和活产率，并可消除冷冻的必要性。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.