Management of Women with Vaginismus-related Infertility Through Assisted Reproductive Techniques

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dc.authoridYURCI, Arzu/0000-0003-4808-9019
dc.authoridKarayagiz, Saban/0000-0002-6914-4630
dc.contributor.authorYurci, Arzu
dc.contributor.authorKarayagiz, Saban
dc.date.accessioned2025-02-24T17:19:09Z
dc.date.available2025-02-24T17:19:09Z
dc.date.issued2021
dc.departmentFakülteler, Fen-Edebiyat Fakültesi, Psikoloji Bölümü
dc.description.abstractObjective: 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.
dc.identifier.doi10.4274/jarem.galenos.2021.69885
dc.identifier.endpage178
dc.identifier.issn2146-6505
dc.identifier.issn2147-1894
dc.identifier.issue2
dc.identifier.startpage174
dc.identifier.trdizinid462690
dc.identifier.urihttps://doi.org/10.4274/jarem.galenos.2021.69885
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/462690
dc.identifier.urihttps://hdl.handle.net/20.500.14440/1024
dc.identifier.volume11
dc.identifier.wosWOS:000691756600009
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofJournal of Academic Research in Medicine-Jarem
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250201
dc.subjectVaginismus
dc.subjectLamont-Pacik scale
dc.subjectIVF-ET
dc.subjectfertility outcome
dc.titleManagement of Women with Vaginismus-related Infertility Through Assisted Reproductive Techniques
dc.typeReview

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