2015年6月9日

子宮內膜息肉占不明原因不孕症之比例高達20%

子宮內膜息肉占不明原因不孕症之比例高達16-26%
子宮內膜息肉占子宮內膜不孕症之比例高達46%

子宮內膜息肉小於2cm對IVF懷孕率影響較低

PCO病患應考慮減重以提高受孕率

http://humupd.oxfordjournals.org/content/17/2/242.full



Endometrial polyps are identified by hysteroscopy in 16–26% of women with otherwise unexplained infertility and the rate is much higher (46%) in infertile women with endometriosis (Kim et al., 2003de Sa Rosa e de Silvaet al., 2005). 


Studies suggest that endometrial polyps <2 cm in size appear to have limited impact on IVF outcome. 

a number of studies demonstrated that local injury to endometrium by endometrial biopsy increases implantation and pregnancy rates in subsequent IVF–embryo transfer cycles (Barash et al., 2003Raziel et al., 2007Zhou et al., 2008). 

Table II
Available methods to improve implantation in gynecological diseases.
Gynecological diseaseTherapy methods
EndometriosisExcision or laser/diathermy ablation of endometriosis implants
LeiomyomaMyomectomy
HydrosalpingesSalpingectomy
Proximal tubal occlusion (if salpingectomy is technically difficult or not feasible)
Endometrial polypHysterescopic polypectomy
PCOSWeight loss
Insulin sensitizers
AdenomyosisGnRH agonist treatment
Surgical excision
EndometritisAntibiotic therapy
Endometrial dysfunction due to ovarian stimulationCryopreservation of embryos

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