Paper Information

Journal:   INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)   September 2016 , Volume 14 , Number 9; Page(s) 583 To 588.
 
Paper: 

Does intrauterine saline infusion by intrauterine insemination (IUI) catheter as endometrial injury during IVF cycles improve pregnancy outcomes among patients with recurrent implantation failure?: An RCT

 
 
Author(s):  SALEHPOUR SAGHAR, ZAMANIYAN MARZIEH*, SAHARKHIZ NASRIN, ZADEH MODARES SHAHRZAD, Hosieni Sedighe, SEIF SAMIRA, MALIH NARGES, Rezapoor Parinaz, SOHRABI MOHAMMAD REZA
 
* Taleghani Hospital, Velenjak, Shahid Chamran Highway, Tehran, Iran, Postal code: 1985711151
 
Abstract: 
Background: Recurrent implantation failure is one of the most issues in IVF cycles. Some researchers found that beneficial effects of endometrial Scratching in women with recurrent implantation failure, while some authors demonstrated contrary results Objective: The present study aimed to investigate the effect of intrauterine. Saline infusion as a form of endometrial injury, during fresh in vitro fertilization-embryo transfer cycle, among patients with recurrent implantation failure. Materials and Methods: In this clinical trial study 63 women undergoing assisted reproductive technology were divided into two groups either local endometrial injury by intrauterine saline infusion during day 3-5 of the ongoing controlled ovarian stimulation cycle, or IVF protocol performed without any other intervention in Taleghani Hospital, Tehran, Iran. The main outcome measure was clinical pregnancy rates. Results: Patients who received intra uterine saline infusion (n=20), had significantly lower clinical pregnancy numbers (1 vs. 9, p<0. 05) and implantation rates (4. 7% vs. 41. 6%, p<0. 05), compared to controls (n=39). However, there was no significant difference in miscarriage rates (9. 4% vs. 8. 7%, p>0. 05) and multiple pregnancy numbers (1 vs. 3, p>0. 05) between groups. Conclusion: When intrauterine saline infusion as a form of endometrial injury is performed during the ongoing IVF cycles it has negative effect on reproductive outcomes among patients with recurrent implantation failure.
 
Keyword(s): Artificial Insemination,Embryo implantation,Embryo Transfer,Fertilization in Vitro,Endometrium,Injuries,Pregnancy
 
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