Endometrial thickness as a predictor of pregnancy outcomes in 10787 fresh IVF–ICSI cycles
This retrospective study assessed the predictive value of endometrial thickness (EMT) on HCG administration day for the clinical outcome of fresh IVF and intracytoplasmic sperm injection (ICSI) cycles. A total of 8690 consecutive women undergoing 10,787 cycles over a 5-year period were included. The...
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| Published in | Reproductive biomedicine online Vol. 33; no. 2; pp. 197 - 205 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Netherlands
Elsevier Ltd
01.08.2016
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| Abstract | This retrospective study assessed the predictive value of endometrial thickness (EMT) on HCG administration day for the clinical outcome of fresh IVF and intracytoplasmic sperm injection (ICSI) cycles. A total of 8690 consecutive women undergoing 10,787 cycles over a 5-year period were included. The 5th, 50th and 95th centiles for EMT were determined as 8, 11 and 15 mm, respectively. Group analysis according to these centiles (Group 1: < 8 mm; Group 2: ≥ 8 and ≤11 mm; Group 3: > 11 and ≤15 mm; Group 4: > 15 mm) demonstrated significant differences (P < 0.001) in clinical pregnancy rates (23.0%, 37.2%, 46.2% and 53.3%, respectively), live birth rates per clinical pregnancy (63.3%, 72.0%, 78.1% and 80.3%, respectively), spontaneous abortion rates (26.7%, 23.8%, 19.9% and 17.5%, respectively), and ectopic pregnancy rates (10.0%, 4.3%, 2.1% and 2.2%, respectively). Logistic regression analyses showed EMT as one of the independent variables predictive of clinical pregnancy (OR = 1.097; P < 0.001), live birth (OR = 1.078; P < 0.001), spontaneous abortion (OR = 0.948; P < 0.001), and ectopic pregnancy (OR = 0.851; P < 0.001). Future research should aim to understand the underlying mechanisms relating EMT to conception, ectopic implantation and spontaneous abortion. |
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| AbstractList | This retrospective study assessed the predictive value of endometrial thickness (EMT) on HCG administration day for the clinical outcome of fresh IVF and intracytoplasmic sperm injection (ICSI) cycles. A total of 8690 consecutive women undergoing 10,787 cycles over a 5-year period were included. The 5th, 50th and 95th centiles for EMT were determined as 8, 11 and 15 mm, respectively. Group analysis according to these centiles (Group 1: < 8 mm; Group 2: ≥ 8 and ≤11 mm; Group 3: > 11 and ≤15 mm; Group 4: > 15 mm) demonstrated significant differences (P < 0.001) in clinical pregnancy rates (23.0%, 37.2%, 46.2% and 53.3%, respectively), live birth rates per clinical pregnancy (63.3%, 72.0%, 78.1% and 80.3%, respectively), spontaneous abortion rates (26.7%, 23.8%, 19.9% and 17.5%, respectively), and ectopic pregnancy rates (10.0%, 4.3%, 2.1% and 2.2%, respectively). Logistic regression analyses showed EMT as one of the independent variables predictive of clinical pregnancy (OR = 1.097; P < 0.001), live birth (OR = 1.078; P < 0.001), spontaneous abortion (OR = 0.948; P < 0.001), and ectopic pregnancy (OR = 0.851; P < 0.001). Future research should aim to understand the underlying mechanisms relating EMT to conception, ectopic implantation and spontaneous abortion. Abstract This retrospective study assessed the predictive value of endometrial thickness (EMT) on HCG administration day for the clinical outcome of fresh IVF and intracytoplasmic sperm injection (ICSI) cycles. A total of 8690 consecutive women undergoing 10,787 cycles over a 5-year period were included. The 5th, 50th and 95th centiles for EMT were determined as 8, 11 and 15 mm, respectively. Group analysis according to these centiles (Group 1: < 8 mm; Group 2: ≥ 8 and ≤11 mm; Group 3: > 11 and ≤15 mm; Group 4: > 15 mm) demonstrated significant differences ( P < 0.001) in clinical pregnancy rates (23.0%, 37.2%, 46.2% and 53.3%, respectively), live birth rates per clinical pregnancy (63.3%, 72.0%, 78.1% and 80.3%, respectively), spontaneous abortion rates (26.7%, 23.8%, 19.9% and 17.5%, respectively), and ectopic pregnancy rates (10.0%, 4.3%, 2.1% and 2.2%, respectively). Logistic regression analyses showed EMT as one of the independent variables predictive of clinical pregnancy (OR = 1.097; P < 0.001), live birth (OR = 1.078; P < 0.001), spontaneous abortion (OR = 0.948; P < 0.001), and ectopic pregnancy (OR = 0.851; P < 0.001). Future research should aim to understand the underlying mechanisms relating EMT to conception, ectopic implantation and spontaneous abortion. |
| Author | Zhou, Canquan Wang, Qiong Xu, Yanwen Saravelos, Sotirios H. Yuan, Xi Li, Tin-Chiu |
| Author_xml | – sequence: 1 givenname: Xi surname: Yuan fullname: Yuan, Xi organization: Reproductive Medicine Centre, Department of Obstetric and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China – sequence: 2 givenname: Sotirios H. surname: Saravelos fullname: Saravelos, Sotirios H. organization: Department of Obstetrics and Gynecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong – sequence: 3 givenname: Qiong surname: Wang fullname: Wang, Qiong organization: Reproductive Medicine Centre, Department of Obstetric and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China – sequence: 4 givenname: Yanwen surname: Xu fullname: Xu, Yanwen organization: Reproductive Medicine Centre, Department of Obstetric and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China – sequence: 5 givenname: Tin-Chiu surname: Li fullname: Li, Tin-Chiu email: tinchiu.li@cuhk.edu.hk organization: Department of Obstetrics and Gynecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong – sequence: 6 givenname: Canquan surname: Zhou fullname: Zhou, Canquan email: zhoucanquan@hotmail.com organization: Reproductive Medicine Centre, Department of Obstetric and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27238372$$D View this record in MEDLINE/PubMed |
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| Snippet | This retrospective study assessed the predictive value of endometrial thickness (EMT) on HCG administration day for the clinical outcome of fresh IVF and... Abstract This retrospective study assessed the predictive value of endometrial thickness (EMT) on HCG administration day for the clinical outcome of fresh IVF... |
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| SubjectTerms | Abortion, Spontaneous - diagnosis Adult Chorionic Gonadotropin - metabolism clinical outcome endometrial thickness endometrium Endometrium - physiology Female Fertilization in Vitro - methods Humans IVF–ICSI Live Birth Male Maternal Age Obstetrics and Gynecology Predictive Value of Tests Pregnancy Pregnancy Outcome Pregnancy Rate Regression Analysis Retrospective Studies Single Embryo Transfer Sperm Injections, Intracytoplasmic - methods |
| Title | Endometrial thickness as a predictor of pregnancy outcomes in 10787 fresh IVF–ICSI cycles |
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