Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study
Abstract Purpose The authors compared assisted reproductive technique (ART) outcomes and the recurrence rate of endometrioma in the infertile patients undergoing sclerotherapy vs laparoscopic ovarian cystectomy. Methods In this prospective cross‐sectional study, a total of 101 infertile patients, wi...
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doaj-c704657d486a4b9681db34aca69c9a352021-07-03T10:30:55ZengWileyReproductive Medicine and Biology1445-57811447-05782021-07-0120331332010.1002/rmb2.12386Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional studySaeed Alborzi0Elham Askary1Pegah Keramati2Shaghayegh Moradi Alamdarloo3Tahereh Poordast4Mohammad Ali Ashraf5Zahra Shomali6Behieh Namavar Jahromi7Ziba Zahiri Sorouri8Department of Obstetrics and Gynecology Laparoscopy Research Center School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology Infertility Research Center School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology Infertility Research Center School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology Infertility Research Center School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology Laparoscopy Research Center School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Obstetrics and Gynecology Laparoscopy Research Center School of Medicine Guilan University of Medical Sciences Rasht IranAbstract Purpose The authors compared assisted reproductive technique (ART) outcomes and the recurrence rate of endometrioma in the infertile patients undergoing sclerotherapy vs laparoscopic ovarian cystectomy. Methods In this prospective cross‐sectional study, a total of 101 infertile patients, with unilateral endometriomas, were divided into two groups. The first group (n = 57) underwent ART after 1 year of unsuccessful spontaneous pregnancy after laparoscopic ovarian cystectomy; the second group (n = 44) had ethanol sclerotherapy (EST) at the time of oocyte retrieval. The authors measured the number of oocytes, clinical pregnancy rate (CPR), live birth rate (LBR), complication, and recurrence of endometriomas as the primary and secondary outcomes. Results The two groups had no significant differences in baseline characteristics and ovarian stimulation markers and also total number of oocytes. 42.1% and 34.1% of the patients (n = 24 and 15) had clinical pregnancy, and 38.6% and 29.5% (n = 22 and 13) had live birth following ART cycles in the surgery group and sclerotherapy group (P = .41, 0.34). The recurrence rates were 14.0% and 34.1% in the surgery and sclerotherapy groups (P = .017, X2 = 5.67). Conclusions Ethanol sclerotherapy can be a good alternative to surgery concerning the treatment of endometrioma; however, the recurrence of the disease in this group is significantly higher.https://doi.org/10.1002/rmb2.12386assisted reproductive technologyendometriosisethanol sclerotherapysurgical management |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Saeed Alborzi Elham Askary Pegah Keramati Shaghayegh Moradi Alamdarloo Tahereh Poordast Mohammad Ali Ashraf Zahra Shomali Behieh Namavar Jahromi Ziba Zahiri Sorouri |
spellingShingle |
Saeed Alborzi Elham Askary Pegah Keramati Shaghayegh Moradi Alamdarloo Tahereh Poordast Mohammad Ali Ashraf Zahra Shomali Behieh Namavar Jahromi Ziba Zahiri Sorouri Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study Reproductive Medicine and Biology assisted reproductive technology endometriosis ethanol sclerotherapy surgical management |
author_facet |
Saeed Alborzi Elham Askary Pegah Keramati Shaghayegh Moradi Alamdarloo Tahereh Poordast Mohammad Ali Ashraf Zahra Shomali Behieh Namavar Jahromi Ziba Zahiri Sorouri |
author_sort |
Saeed Alborzi |
title |
Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study |
title_short |
Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study |
title_full |
Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study |
title_fullStr |
Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study |
title_full_unstemmed |
Assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: Prospective cross‐sectional study |
title_sort |
assisted reproductive technique outcomes in patients with endometrioma undergoing sclerotherapy vs laparoscopic cystectomy: prospective cross‐sectional study |
publisher |
Wiley |
series |
Reproductive Medicine and Biology |
issn |
1445-5781 1447-0578 |
publishDate |
2021-07-01 |
description |
Abstract Purpose The authors compared assisted reproductive technique (ART) outcomes and the recurrence rate of endometrioma in the infertile patients undergoing sclerotherapy vs laparoscopic ovarian cystectomy. Methods In this prospective cross‐sectional study, a total of 101 infertile patients, with unilateral endometriomas, were divided into two groups. The first group (n = 57) underwent ART after 1 year of unsuccessful spontaneous pregnancy after laparoscopic ovarian cystectomy; the second group (n = 44) had ethanol sclerotherapy (EST) at the time of oocyte retrieval. The authors measured the number of oocytes, clinical pregnancy rate (CPR), live birth rate (LBR), complication, and recurrence of endometriomas as the primary and secondary outcomes. Results The two groups had no significant differences in baseline characteristics and ovarian stimulation markers and also total number of oocytes. 42.1% and 34.1% of the patients (n = 24 and 15) had clinical pregnancy, and 38.6% and 29.5% (n = 22 and 13) had live birth following ART cycles in the surgery group and sclerotherapy group (P = .41, 0.34). The recurrence rates were 14.0% and 34.1% in the surgery and sclerotherapy groups (P = .017, X2 = 5.67). Conclusions Ethanol sclerotherapy can be a good alternative to surgery concerning the treatment of endometrioma; however, the recurrence of the disease in this group is significantly higher. |
topic |
assisted reproductive technology endometriosis ethanol sclerotherapy surgical management |
url |
https://doi.org/10.1002/rmb2.12386 |
work_keys_str_mv |
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