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., 2003; de 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., 2003; Raziel et al., 2007; Zhou et al., 2008).
Table II
Available methods to improve implantation in gynecological diseases.
| Gynecological disease | Therapy methods |
|---|---|
| Endometriosis | Excision or laser/diathermy ablation of endometriosis implants |
| Leiomyoma | Myomectomy |
| Hydrosalpinges | Salpingectomy |
| Proximal tubal occlusion (if salpingectomy is technically difficult or not feasible) | |
| Endometrial polyp | Hysterescopic polypectomy |
| PCOS | Weight loss |
| Insulin sensitizers | |
| Adenomyosis | GnRH agonist treatment |
| Surgical excision | |
| Endometritis | Antibiotic therapy |
| Endometrial dysfunction due to ovarian stimulation | Cryopreservation of embryos |
沒有留言:
張貼留言