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Importance of the biopsy date in autologous endometrial cocultures for patients with multiple implantation failures.

Abstract：

OBJECTIVE:To analyze the effectiveness of autologous endometrial coculture by the cycle day of the endometrial biopsy. DESIGN:Retrospective study. SETTING:University-based IVF center. PATIENT(S):Two hundred eight patients with multiple IVF failures. INTERVENTION(S):Embryos were split and randomly allocated to growth on autologous endometrial coculture or conventional media. MAIN OUTCOME MEASURE(S):Embryo quality and pregnancy outcome. RESULT(S):The overall clinical pregnancy rate was 41.8%. Embryos grown on autologous endometrial coculture were of higher quality (more blastomeres and less fragmentation) than embryos grown with conventional media. Early luteal biopsies (<5 days after LH surge) for autologous endometrial coculture did not demonstrate an improvement in embryo quality as compared to the significant improvement demonstrated with later luteal endometrial biopsies (> or =5 days after LH surge). The date of the biopsy was predictive of pregnancy outcome when using autologous endometrial coculture (44.7% [> or =5 days after LH surge] vs. 18.8% [<5 days after LH surge], P=.012). CONCLUSION(S):We have demonstrated an improvement in embryo quality when using autologous endometrial coculture. The improvement in embryo quality and higher pregnancy rates were limited to biopsies > or =5 days after the LH surge. This suggests that mid/late luteal phase endometrium contains factors that enhanced embryo growth and subsequent implantation.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Spandorfer SD,Barmat LI,Navarro J,Liu HC,Veeck L,Rosenwaks Z

doi

10.1016/s0015-0282(02)03134-5

keywords:

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

1209-13

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015028202031345

journal_volume

77

pub_type

临床试验,杂志文章,随机对照试验

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