Skip to main content

Advertisement

Log in

The success rate of pregnancy in IUI cycles following endometrial sampling. A randomized controlled study

Endometrial sampling and pregnancy rates

  • Reproductive Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope

Abstract

Objective

The aim of this work was to compare the pregnancy rates during IUI cycles with or without endometrial sampling.

Study design

A prospective, randomized study.

Patients and methods

150 patients were recruited. They were classified into three groups. Each comprised 50 patients. Group 1 was considered the control group and underwent IUI with no endometrial sampling. Group 2 underwent Tao Brush endometrial sampling on day 8–9 of the uterine cycle that preceded the stimulation cycle, and finally, Group 3 underwent Tao Brush endometrial sampling on day 8–9 of the same IUI cycle

Outcome of the study

A positive pregnancy test.

Results

Pregnancy percentages were 18, 38, and 36 % for group 1, group 2, and group 3, respectively. The paired t test was used to compare each two individual group means. The results show a highly significant value for the paired t test of the control group and group 2 of the patients (p = 0.001), as well as a highly significant results (p = 0.002) for the group 3 and the control group. No significant value was present between the group 2 and 3 of patients (p = 0.322).

Conclusion

Endometrial sampling significantly increases pregnancy rates in IUI procedures when it is done in the proliferative phase of the IUI cycle, or the cycle prior to IUI, than pregnancy rates with IUI alone.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gnainsky Y, Granot I, Aldo PB, Barash A, Or Y, Schechtman E, Mor G, Dekel N (2010) Local injury of the endometrium induces an inflammatory response that promotes successful implantation. Fertil Steril 94(6):2030–2036

    Article  PubMed  CAS  Google Scholar 

  2. Garlanda C, Maina V, Martinez de la Torre Y, Nebuloni M, Locati M (2008) Inflammatory reaction and implantation: the new entries PTX3 and D6. Placenta 29(Suppl 2):129–134

    Article  PubMed  Google Scholar 

  3. Van Mourik MS, Heijnen CJ, Macklon NS (2009) Embryonic implantation: cytokines, adhesion molecules, and immune cells in establishing an implantation environment. J Leukoc Biol 85:4–19

    Article  PubMed  Google Scholar 

  4. Hanna J, Goldman-Wohl D, Hamani Y, Avraham I, Greenfield C, Natanson-Yaron S et al (2006) Decidual NK cells regulate key developmental processes at the human fetal-maternal interface. Nat Med 12:1065–1074

    Article  PubMed  CAS  Google Scholar 

  5. Croy BA, He H, Esadeg S, Wei Q, McCartney D, Zhang J et al (2003) Uterine natural killer cells: insights into their cellular and molecular biology from mouse modelling. Reproduction 126:149–160

    Article  PubMed  CAS  Google Scholar 

  6. Margalioth EJ, Ben-Chetrit A, Gal M, Eldar-Geva T (2006) Investigation and treatment of repeated implantation failure following IVF-ET. Hum Reprod 21:3036–3043

    Article  PubMed  CAS  Google Scholar 

  7. Mor G, Koga K (2008) Macrophages and pregnancy. Reprod Sci 15:435–436

    Article  PubMed  Google Scholar 

  8. Aghajanova L (2004) Leukemia inhibitory factor and human embryo implantation. Ann NY Acad Sci 1034:176–183

    Article  PubMed  CAS  Google Scholar 

  9. Kao LC, Tulac S, Lobo S, Imani B, Yang JP, Germeyer A, Osteen K, Taylor RN, Lessey BA, Giudice LC (2002) Global gene profiling in human endometrium during the window of implantation. Endocrinology 143:2119–2138

    Article  PubMed  CAS  Google Scholar 

  10. Horcajadas JA, Pellicer A, Simon C (2007) Wide genomic analysis of human endometrial receptivity: new times, new opportunities. Hum Reprod Updat 13:77–86

    Article  CAS  Google Scholar 

  11. Almog B, Shalom-Paz E, Dufort D, Tulandi T (2010) Promoting implantation by local injury to the endometrium. Fertil Steril 94(6):2026–2029

    Article  PubMed  Google Scholar 

  12. DemirolA GurganT (2004) Effect of treatment of intrauterine pathologies with office hysteroscopy in patients with recurrent IVF failure. Reprod Biomed Online 8:590–594

    Article  Google Scholar 

  13. Narvekar SA, Gupta N, Shetty N, Kottur A, Srinivas M, Rao KA (2010) Does local endometrial injury in the nontransfer cycle improve the IVF-ET outcome in the subsequent cycle in patients with previous unsuccessful IVF? A randomized controlled pilot study. J Hum Reprod Sci 3(1):15–19

    Article  PubMed  Google Scholar 

  14. Huang SY, Wang CJ, Soong YK, Wang HS, Wang ML, Lin CY, Chang CL (2011) Site-specific endometrial injury improves implantation and pregnancy in patients with repeated implantation failures. Reprod Biol Endocrinol 9:140. doi:10.1186/1477-7827-9-140

    Article  PubMed  Google Scholar 

  15. Zhou L, Li R, Wang R, Huang HX, Zhong K (2008) Local injury to the endometrium in controlled ovarian hyperstimulation cycles improves implantation rates. Fertil Steril 89(5):1166–1176

    Article  PubMed  Google Scholar 

  16. Karimzadeh MA, Ayazi Rozbahani M, Tabibnejad N (2009) Endometrial local injury improves the pregnancy rate among recurrent implantation failure patients undergoing in vitro fertilisation/intra cytoplasmic sperm injection: a randomised clinical trial. Aust NZJ Obstet Gynaecol 49(6):677–680

    Article  Google Scholar 

  17. M. Bonavita, M. Mattila, F.P. Ferreira, V. Maia-Filho, A.M. Rocha, P. Serafini and E.L.A. Motta (2011). Local endometrium injury/healing increases embryo implantation and pregnancy rates of in vitro fertilization treatments, Abstracts of the 27th annual meeting of the ESHRE Stockhom, Sweden

  18. Barash A, Dekel N, Fieldust S, Segal I, Schechtman E, Grano I (2003) Local injury to of successful pregnancies in patients undergoing in vitro fertilization. Fertil Steril 79(6):1317–1322

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amr M. Salaheldin Abdelhamid.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Abdelhamid, A.M.S. The success rate of pregnancy in IUI cycles following endometrial sampling. A randomized controlled study. Arch Gynecol Obstet 288, 673–678 (2013). https://doi.org/10.1007/s00404-013-2785-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-013-2785-0

Keywords

Navigation