The Value of Hysteroscopy before the First IVF/ICSI Treatment Cycle in Patients with Endometrial Polyp

Chang Liu, Junzhao Zhao and Haoying Chen

Department of Obstetrics and Gynecology, The Second Affiliated Hospital and Yuying Children’s Hospital, Wenzhou Medical University, China

^*Correspondance to: Junzhao Zhao 

 PDF  Full Text DOI: 10.25107/2474-1647.2448

Abstract

Objective: To evaluate the value of hysteroscopy in patients with endometrial polyp(s) before starting the first IVF/ICSI treatment.
Materials and Methods: A total of 141 infertile women were divided into 2 groups according to whether they had already had IVF/ICSI treatment before hysteroscopy. 78 patients in group I didn’t have IVF/ICSI Embryo Transfer (ET) before hysteroscopic removal of polyps while another 63 patients group II already had IVF/ICSI ET at least once. General information and pregnancy outcomes were compared and studied retrospectively.
Results: In group I, more oocytes were retrieved (13.46 ± 6.48 vs. 10.63 ± 4.72; P<0.05) and more embryos were cryopreserved (4.38 ± 4.05 vs. 3.06 ± 2.63; P<0.05), with statistical significance. Both clinical pregnancy rate (87.2% vs.71.4%; P<0.05) and ongoing pregnancy (73.1% vs. 55.6%, P<0.05) rate in group I were significantly higher than group II.
Conclusion: EPs do have some negative effects on pregnancy and hysteroscopic removal of polyps before starting the first IVF/ICSI treatment could help relieve some unnecessary burdens of recurrent failure caused by IVF/ICSI ET.

Keywords

Endometrial polyps; Hysteroscopy; Infertility; TCRP; First cycle

Cite the article

Liu C, Zhao J, Chen H. The Value of Hysteroscopy before the First IVF/ ICSI Treatment Cycle in Patients with Endometrial Polyp. Clin Surg. 2019; 4: 2448.