Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection

BACKGROUND AND OBJECTIVE: The success rate of intra-cytoplasmic sperm injection (ICSI) is dependent not only on egg and sperm quality but also is related to endometrial receptivity. Today one of the main obstacles in the treatment of infertility is reduced implantation rates in infertility treatment...

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Autores principales:	Z Basirat, S Esmailzadeh, GH.A Jorsaraei, M Firoozpour, S Abdolhashempour
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2012
Materias:	infertility endometrial thickness endometrial pattern intra-cytoplasmic sperm injection Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ade564ad704c4f52ac301db19d17cf4b
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spelling	oai:doaj.org-article:ade564ad704c4f52ac301db19d17cf4b2021-11-10T08:53:19ZDetermining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection1561-41072251-7170https://doaj.org/article/ade564ad704c4f52ac301db19d17cf4b2012-07-01T00:00:00Zhttp://jbums.org/article-1-4147-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: The success rate of intra-cytoplasmic sperm injection (ICSI) is dependent not only on egg and sperm quality but also is related to endometrial receptivity. Today one of the main obstacles in the treatment of infertility is reduced implantation rates in infertility treatment cycles, despite having some good quality embryos. Therefore, this study was designed to determine the best appropriate level of endometrial thickness on intra-cytoplasmic sperm injection outcome.METHODS: A cross-sectional study was performed on 198 patients in ICSI/ET cycles in Fatemeh-Zahra Infertility center of Babol University of medical science (Babol, Iran) during 2009-2010. Sonography feature of the endometrium (thickness and pattern) and various other variables (maternal age, cause and duration of infertility and number of retrieved oocyte) in pregnant (according to positive B-HCG test and presence of fetal heart beat on vaginal sonography) and non pregnant patients were compared.FINDINGS: A total of 198 cycles were analyzed. Pregnancy rate was 46 (23.2%). Most pregnancy rate (50%) was among patients with an endometrial thickness 9.2-11.7 mm. Duration, type and etiology of infertility, endometrial pattern and number of retrieved oocyte were not correlated to ICSI outcome. Endometrial thickness and maternal age is a predictive factor of success rate in ICSI treatment cycles (p<0.05). CONCLUSION: Endometrial thickness is a good predictive factor for ICSI outcome. We can decide for embryo transfer or freezing if endometrial thickness and pattern are inappropriate.Z Basirat,S EsmailzadehGH.A Jorsaraei,M FiroozpourS AbdolhashempourBabol University of Medical Sciencesarticleinfertilityendometrial thicknessendometrial patternintra-cytoplasmic sperm injectionMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 14, Iss 4, Pp 15-21 (2012)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	infertility endometrial thickness endometrial pattern intra-cytoplasmic sperm injection Medicine R Medicine (General) R5-920
spellingShingle	infertility endometrial thickness endometrial pattern intra-cytoplasmic sperm injection Medicine R Medicine (General) R5-920 Z Basirat, S Esmailzadeh GH.A Jorsaraei, M Firoozpour S Abdolhashempour Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection
description	BACKGROUND AND OBJECTIVE: The success rate of intra-cytoplasmic sperm injection (ICSI) is dependent not only on egg and sperm quality but also is related to endometrial receptivity. Today one of the main obstacles in the treatment of infertility is reduced implantation rates in infertility treatment cycles, despite having some good quality embryos. Therefore, this study was designed to determine the best appropriate level of endometrial thickness on intra-cytoplasmic sperm injection outcome.METHODS: A cross-sectional study was performed on 198 patients in ICSI/ET cycles in Fatemeh-Zahra Infertility center of Babol University of medical science (Babol, Iran) during 2009-2010. Sonography feature of the endometrium (thickness and pattern) and various other variables (maternal age, cause and duration of infertility and number of retrieved oocyte) in pregnant (according to positive B-HCG test and presence of fetal heart beat on vaginal sonography) and non pregnant patients were compared.FINDINGS: A total of 198 cycles were analyzed. Pregnancy rate was 46 (23.2%). Most pregnancy rate (50%) was among patients with an endometrial thickness 9.2-11.7 mm. Duration, type and etiology of infertility, endometrial pattern and number of retrieved oocyte were not correlated to ICSI outcome. Endometrial thickness and maternal age is a predictive factor of success rate in ICSI treatment cycles (p<0.05). CONCLUSION: Endometrial thickness is a good predictive factor for ICSI outcome. We can decide for embryo transfer or freezing if endometrial thickness and pattern are inappropriate.
format	article
author	Z Basirat, S Esmailzadeh GH.A Jorsaraei, M Firoozpour S Abdolhashempour
author_facet	Z Basirat, S Esmailzadeh GH.A Jorsaraei, M Firoozpour S Abdolhashempour
author_sort	Z Basirat,
title	Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection
title_short	Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection
title_full	Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection
title_fullStr	Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection
title_full_unstemmed	Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection
title_sort	determining the best appropriate level of endometrial thickness in the outcome of intra-cytoplasmic sperm injection
publisher	Babol University of Medical Sciences
publishDate	2012
url	https://doaj.org/article/ade564ad704c4f52ac301db19d17cf4b
work_keys_str_mv	AT zbasirat determiningthebestappropriatelevelofendometrialthicknessintheoutcomeofintracytoplasmicsperminjection AT sesmailzadeh determiningthebestappropriatelevelofendometrialthicknessintheoutcomeofintracytoplasmicsperminjection AT ghajorsaraei determiningthebestappropriatelevelofendometrialthicknessintheoutcomeofintracytoplasmicsperminjection AT mfiroozpour determiningthebestappropriatelevelofendometrialthicknessintheoutcomeofintracytoplasmicsperminjection AT sabdolhashempour determiningthebestappropriatelevelofendometrialthicknessintheoutcomeofintracytoplasmicsperminjection
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Determining the Best Appropriate Level of Endometrial Thickness in the Outcome of Intra-Cytoplasmic Sperm Injection

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