, Volume 24, Issue 9, pp 395-399
Date: 17 Jul 2007

Examination of bacterial contamination at the time of embryo transfer, and its impact on the IVF/pregnancy outcome

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Abstract

Purpose

This study was designed to examine the effect of bacterial contamination on in vitro fertilization treatment outcomes.

Method

In a prospective clinical trial, 152 patients aged 23–38 years, mean 33.3 ± 4.6, undergoing IVF treatment were selected for this study. During embryo transfer, separate samples were collected for microbial examination from the following sites: the fundus of the vagina, the cervix, the embryo culture medium prior and post-embryo transfer, the tip of the catheter, and the external sheet. All the samples were separately cultured to identify any bacteria or yeast present.

Results

Pregnancy rates in patients testing positive for Entrobacteriaceae (22.2% versus 51%) and Staphylococcus species (17.6% versus 44%) were significantly lower than those in the negative culture group (p < 0.001). The pregnancy rates do not seem to be affected by the other isolated microorganisms.

Conclusion

This study shows that the presence of vaginal–cervical microbial contamination at the time of embryo transfer is associated with significantly decreased pregnancy rates.

The presence of vaginal-cervical microbial contamination, examined at embryo transfer, has revealed to negatively affect in-vitro fertilization treatment outcome