TRANSVAGINAL ULTRASONIC NEEDLE-GUIDED ASPIRATION OF ENDOMETRIOTIC CYSTS BEFORE OVULATION INDUCTION FOR INVITRO FERTILIZATION

被引:34
作者
DICKER, D
GOLDMAN, JA
FELDBERG, D
ASHKENAZI, J
LEVY, T
机构
[1] Department of Obstetrics-Gynecology, Golda Meir Medical Center (Hasharon Hospital), Petah-Tikva
[2] Tel Aviv University Medical School, Tel-Aviv
来源
JOURNAL OF IN VITRO FERTILIZATION AND EMBRYO TRANSFER | 1991年 / 8卷 / 05期
关键词
ENDOMETRIOSIS; ENDOMETRIOTIC CYSTS; IVF-ET; VAGINAL ULTRASOUND;
D O I
10.1007/BF01139786
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Controversy still exists concerning the optimal treatment of endometriomata in endometriosis and its related infertility. Forty-one women with endometriomata who failed to conceive during previous in vitro fertilization and embryo transfer (IVF-ET) cycles (protocol A) were readmitted for ovum pickup following transvaginal ultrasonic needle-guided aspiration of the endometriomata (protocol B). Following aspiration a significantly higher number of oocytes was recovered (P < 0.0006); subsequently, more embryos were transferred, and significantly higher clinical pregnancy rates per cycle (P < 0.0001) were achieved. This difference may be directly related to the reduction of extensive ectopic endometrial tissue (endometriomata) with improved ovarian response, follicular accessibility, and, most probably, improved oocyte quality.
引用
收藏
页码:286 / 289
页数:4
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