Literature DB >> 23141286

[Study on the incidence and influences on ectopic pregnancy from embryo transfer of fresh cycles and frozen-thawed cycles].

Yi-le Zhang1, Jing Sun, Ying-chun Su, Yi-hong Guo, Ying-pu Sun.   

Abstract

OBJECTIVE: To investigate ectopic pregnancy from embryo transfer (ET)of in-vitro fertilization (IVF) cycle and intracytoplasmic sperm injection (ICSI) cycle and frozen-thawed (FET) cycle.
METHODS: From Jan.2005 to Dec. 2010, a total of 9037 IVF-ET or ICSI-ET cycles and 4034 FET cycles were performed in our reproductive medicine center, Affiliated First Hospital of Zhengzhou University. The incidence of ectopic pregnancy rate was studied in fresh cycles IVF-ET (5998) and ICSI-ET (3039) cycles, and natural FET (2198) and hormone replacement (E-P) FET (1836) cycles.
RESULTS: Of 4034 FET cycles, 1090 clinical pregnancies and 26 ectopic pregnancies were observed, the incidence of ectopic pregnancy was 2.38% (26/1090). Of 9037 fresh cycles, 3602 cycles were clinical pregnancy, and 133 cycles were ectopic pregnancy, and the incidence of ectopic pregnancy was 3.69% (133/3602). The ectopic pregnancy rate in FET cycles was lower than in fresh cycles significantly (P < 0.05). Of 3039 fresh ICSI-ET cycles, the incidence of ectopic pregnancy was 2.62% (34/1298) in 1298 clinical pregnancies. Of 5998 IVF-ET cycles, 2304 clinical pregnancies were observed, the incidence of ectopic pregnancy was 4.30% (99/2304). Ectopic pregnancy rate in the fresh ICSI-ET cycles was lower than that of IVF-ET group significantly (P < 0.01). The ectopic pregnancy rate in the natural FET cycles was 1.46% (8/547), which was significantly lower than 3.31% (18/543) in E-P group (P < 0.05).
CONCLUSIONS: The incidence of ectopic pregnancy of FET cycles was significantly lower than that of fresh embryo transfer cycles. The application of exogenous sex hormones in assisted reproductive cycles might increase occurrence of ectopic pregnancy.

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Mesh:

Year:  2012        PMID: 23141286

Source DB:  PubMed          Journal:  Zhonghua Fu Chan Ke Za Zhi        ISSN: 0529-567X


  4 in total

Review 1.  Ectopic pregnancy secondary to in vitro fertilisation-embryo transfer: pathogenic mechanisms and management strategies.

Authors:  Bassem Refaat; Elizabeth Dalton; William L Ledger
Journal:  Reprod Biol Endocrinol       Date:  2015-04-12       Impact factor: 5.211

2.  Triplet Delivery following Unilateral Twin Salpingocyesis.

Authors:  Johnson O Komolafe; Rasaq A Akindele; Adeniyi O Fasanu; Callistus A Akinleye; Taiwo O Akinbile; Monisayo O Komolafe; Muyiwa O Oguntunde
Journal:  Case Rep Obstet Gynecol       Date:  2015-04-02

Review 3.  Abdominal ectopic pregnancy after in vitro fertilization and single embryo transfer: a case report and systematic review.

Authors:  Nicole Yoder; Reshef Tal; J Ryan Martin
Journal:  Reprod Biol Endocrinol       Date:  2016-10-19       Impact factor: 5.211

4.  Endometriosis and Beta-hCG > 775 IU/l Increase the Risk of Non-tube-preserving Surgery for Tubal Pregnancy.

Authors:  Kristin Nicolaus; Jorge Jimenez-Cruz; Dominik Michael Bräuer; Thomas Lehmann; Anke Regina Mothes; Ingo B Runnebaum
Journal:  Geburtshilfe Frauenheilkd       Date:  2018-07-25       Impact factor: 2.915

  4 in total

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