Management of Women with Vaginismus-related Infertility Through Assisted Reproductive Techniques
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Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publ House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: To investigate reproductive outcomes of patients with infertility due to severe vaginismus undergoing in vitro fertilisation and embryo transfer (IVF-ET). Methods: Twenty-nine patients were selected among patients who presented with complaints of vaginismus-related infertility. The diagnosis and severity of vaginismus were assessed according to the Lamont-Pacik system. Five women with milder forms of vaginismus were treated with other options. Of the remaining 24 patients with severe vaginismus, 20 had Lamont grade 3 and four with Lamont grade 4. Likewise, 24 patients who were diagnosed with unexplained infertility were selected as the control group. Results: Of the 24 patients, 15 had first attempt, 8 had second and 1 had fourth attempt. Folliculometry was performed with abdominal ultrasonography in 21 women with normal body mass index. Folliculometry and endometrial evaluation were performed in three overweight cases with transvaginal ultrasonography under sedation. Single ET was performed in 27 cycles, and two ETs were performed in the others. Beta human chorionic gonadotropin positivity was detected in 20 of the 39 cycles. Similarly, in 20 patients, while clinical pregnancy was detected (20 of 39 cycles, 51.2%), the number of cycles with term and live births were 16 (16 of 39 cycles, 41.0%). While clinical pregnancy was detected in 25 of 35 cycles in the control group (71.4%), live birth was achieved in 22 cycles (62.8%). Compared with the vaginismus group, clinical pregnancy rate (20 vs 25, p<0.09) and live birth rate (LBR) (16 vs 22, p<0.06) were comparable. Conclusion: Both clinical pregnancy and LBRs of women with infertility due to severe vaginismus undergoing IVF-ET are similar to women with unexplained infertility.
Açıklama
Anahtar Kelimeler
Vaginismus, Lamont-Pacik scale, IVF-ET, fertility outcome
Kaynak
Journal of Academic Research in Medicine-Jarem
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
11
Sayı
2
