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Sheath in Embryo Transfer. A Step Towards Improving Pregnancy Rate in ICSI Cycles

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

4. Reproductive Medicine / Minimal Acess Surgery

Abstract

Aim: To compare classic embryo transfer versus sheath in techniques of embryo transfer.
Study Design: Retrospective case control.  Materials and Methods: Retrospective case control that was conducted in Multicenter fertility centers. Four thousands one hundred and fifteen infertile women undergoing ICSI with 3110 underwent fresh embryo transfer and 1005 underwent frozen embryo transfer. Sheath in technique conducted by confident positioning of the outer sheath before introducing embryo loaded inner sheath while classic technique both catheters introduced simultaneously. Primary outcomes Clinical pregnancy rate (defined as the presence of pulsating fetal heart after 6-8 weeks of Embryo transfer) in both groups.  Results: A total of 3110 embryo transfer were evaluated. in 1767 (56.8% ) classic embryo transfer method was used
compared to 1343 (42.2% ) sheath in .The overall pregnancy rate is 50.8 % being 52.5 % within classic embryo transfer
compared to 48.6 % within sheath in transfer that was statistically significant. Sheath in embryo transfer yield 51% pregnancy rate in non-difficult embryo transfer ( comparable to classic transfer ) and yield 43.3 % in difficult cases compared to failure of transfer with classic type .Pregnancy rate i8n frozen embryo transfer was significantly higher in sheath in group versus classic transfer (60.6 % versus 52.9%).  Conclusion: Sheath in Embryo transfer is a valid technique yield comparable pregnancy rate in non-complicated cases and non-comparable higher pregnancy rate in difficult cases .it is simple a traumatic techniques easy to be standardized 

DOI

10.21608/ebwhj.2022.143318.1179

Keywords

classic Embryo transfer, embryo transfer, ICSI, pregnancy rate, sheath in

Authors

First Name

ahmed

Last Name

Galal

MiddleName

-

Affiliation

Alexandria university

Email

galal_af@yahoo.com

City

Alexandria

Orcid

-

First Name

mohamed

Last Name

mehesen

MiddleName

-

Affiliation

obstetrics and gynecology beni suef university

Email

mnmo75@yahoo.com

City

-

Orcid

-

First Name

ahmad

Last Name

etman

MiddleName

-

Affiliation

repro ivf center lab director

Email

ahmad3etman@gmail.com

City

alexandria

Orcid

-

First Name

maged

Last Name

elmohamady

MiddleName

-

Affiliation

obstetrics and gynecology cairo university

Email

d_elhelaly@hotmail.com

City

cairo

Orcid

-

Volume

12

Article Issue

3

Related Issue

35869

Issue Date

2022-08-01

Receive Date

2022-06-07

Publish Date

2022-08-01

Page Start

289

Page End

294

Print ISSN

2090-7265

Online ISSN

2090-7257

Link

https://ebwhj.journals.ekb.eg/article_251517.html

Detail API

https://ebwhj.journals.ekb.eg/service?article_code=251517

Order

8

Type

Original Article

Type Code

366

Publication Type

Journal

Publication Title

Evidence Based Women's Health Journal

Publication Link

https://ebwhj.journals.ekb.eg/

MainTitle

Sheath in Embryo Transfer. A Step Towards Improving Pregnancy Rate in ICSI Cycles

Details

Type

Article

Created At

22 Jan 2023