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Objective To evaluate the ovarian response to the gonadotrophin (Gn) in the COH and observe the outcome of IVF for the patients with endometriomas. Methods A retrospective analysis of 32 patients with endometrioma undergoing IVF- ET. It included 71 cycles, and 59 cycles in 32 patients with tubal factor associated infertility were as the control. Results There were statistically significant differences between the two groups in the cancelling rate (P<0.01), the E2 concentration in the day of hCG injection (P<0.05), retrieval eggs(P<0.001), rate of fertilization (P<0.05), rate of cleavage (P<0.05), obtained embryos (P<0.001).There were no statistically significant differences in the clinical pregnancy rate, implantation rate and delivery rate, P all>0.05. Conclusion The patients with endometriomas had a poor response to the Gn in the COH. The endometrial accessibility in patients with endometriomas seemed not to be affected by the presence of endometriomas. But considering the higher cancelling rate, the prognostic for the patients with endometriomas was worth than the patients with tubal factor associated infertility.
Objective To evaluate the ovarian response to the gonadotrophin (Gn) in the COH and observe the outcome of IVF for the patients with endometriomas. Methods A retrospective analysis of 32 patients with endometrioma undergoing IVF-ET. It included 71 cycles, and 59 cycles in 32 patients with tubal factor associated infertility were the control. Results There were statistically significant differences between the two groups in the cancelation rate (P <0.01), E2 concentration in the day of hCG injection (P <0.05), retrieval eggs ( P <0.001), rate of fertilization (P <0.05), rate of cleavage (P <0.05), embryos obtained (P <0.001). There were no significant significant differences in the clinical pregnancy rate, implantation rate and delivery rate, P all> 0.05. Conclusion The patients with endometriomas had a poor response to the Gn in the COH. The endometrial accessibility in patients with endometriomas seemed not to be affected by the presence of endometriomas. But considering the higher can celling rate, the prognostic for the patients with endometriomas was worth than the patients with tubal factor associated infertility.