Transvaginal ultrasonic needle-guided aspiration of endometriotic cysts before ovulation induction for in vitro fertilization

Dov Dicker, Jack A. Goldman, Dov Feldberg, Jacob Ashkenazi, Tally Levy

Research output: Contribution to journalArticlepeer-review

Abstract

Controversy still exists concerning the optimal treatment of endometriomata in endometriosis and its related infertility. Forty-one women with endometriomata who failed to conceive during previous in vitro fertilization and embryo transfer (IVF-ET) cycles (protocol A) were readmitted for ovum pickup following transvaginal ultrasonic needle-guided aspiration of the endometriomata (protocol B). Following aspiration a significantly higher number of oocytes was recovered (P<0.0006); subsequently, more embryos were transferred, and significantly higher clinical pregnancy rates per cycle (P<0.0001) were achieved. This difference may be directly related to the reduction of extensive ectopic endometrial tissue (endometriomata) with improved ovarian response, follicular accessibility, and most probably, improved oocyte quality.

Original languageEnglish
Pages (from-to)286-289
Number of pages4
JournalJournal of in Vitro Fertilization and Embryo Transfer
Volume8
Issue number5
DOIs
StatePublished - Oct 1991

Keywords

  • IVF-ET
  • endometriosis
  • endometriotic cysts
  • vaginal ultrasound

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