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105463

Timing of endometrial scratching for women undergoing ICSI: A randomized clinical trial

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Last updated: 03 Jan 2025

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Abstract

Aim: To determine the optimum time for endometrial scratching in patients with unexplained primary infertility undergoing ICSI-ET cycles after one or more implantation failure. Methods: A randomized clinical trial wasconducted at fertility care unit, Mansoura University Hospital and 2 private fertility centers, Egypt, fromNovember 2016 tillJune 2018. Eligible participants [142] had unexplained primary infertility, were prepared and sched- uled to obligate for ICSIcycles. Patients were randomly allocated into two equal groups using computer-generated tables and sealed opaque envelopes. Endometrial scratching was done either just af- ter oocyte retrieval in (group 1) or mid-luteal in the cycle before induction (group 2). Patients, investigators, and data analysts were not masked to group assignment. The primary outcome measure was implantation rate while the clinical pregnancy rate was settled as the secondary outcome measure. Results: one hundred forty two clients were included (71 in each group). Baseline characteristics did not differ between both groups as regard the age, BMI, duration of infertility and basic laboratory inves- tigations (p>0.05). The mean estimated day of triggering (14.2 ± 2.1 in G1 vs 13.6 ± 2.2 in G2) together with the mean follicular size (19.3 ± 0.8 in G1 vs 18.5 ± 1.8 in G2) showed also no statistical significance (p values 0.690 and 0.751 respectively). Again, the mean estimated number of ova retrieved (7.4+ 2.1 in G1 vs 7.1+ 1.3 in G2) and zy- gote transferred (2 in each group) presented no significant differences together with the chemical pregnancy rates (54 in G1 vs 52 in G2, p>0.05). On the other hand, IR and CPR are found significantly high- er in group 1 compared to group 2, (IR 53.5% vs, 40.8%; whilst CPR 49.3% vs 35.2%, p<0.05). Conclusion: retrieval day endometrial scratching seemed to improve clinical pregnancy and implantation rates than does mid-luteal endo- metrial scratching in patients with unexplained infertility

DOI

10.21608/egyfs.2020.105463

Keywords

Endometrial scratch, retrieval day, IVF/ICSI cycles

Authors

First Name

Abdelhady Zayed , Yasser Mesbah,

Last Name

Ahmed Badawy , Ahmed El-Zayadi

MiddleName

Osama Warda , Ahmed Ragab ,

Affiliation

Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt

Email

zayed_hady@yahoo.com

City

Mansoura

Orcid

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Volume

24

Article Issue

2

Related Issue

15960

Issue Date

2020-05-01

Receive Date

2020-07-28

Publish Date

2020-05-01

Page Start

2

Page End

10

Print ISSN

1110-6352

Online ISSN

2536-9768

Link

https://egyfs.journals.ekb.eg/article_105463.html

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https://egyfs.journals.ekb.eg/service?article_code=105463

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Type

Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Timing of endometrial scratching for women undergoing ICSI: A randomized clinical trial

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Type

Article

Created At

22 Jan 2023