Abstract
Purpose
To investigate whether intracavitary physiotherapy is superior to endometrial scratching in patients with recurrent implantation failure (RIF) after in vitro fertilization/intracytoplasmic sperm injection- embryo transfer (IVF/ICSI-ET) cycles.
Methods
According to the inclusion criteria defined by our hospital, 63 patients with RIF were included in the retrospective study. 20 patients who received intracavitary physiotherapy were classified into Group A, 8 patients with both intracavitary physiotherapy and endometrial scratching were into Group B, and 35 patients who underwent endometrial scratching were into Group C. The primary outcome measures were implantation and clinical pregnancy rates. The secondary outcome measure was pregnancy outcome.
Results
There were no statistical differences in implantation and clinical pregnancy rates between Groups A and C (29.41 vs 35.59 %, 45.00 vs 48.57 % respectively, P > 0.05), Groups B and C (36.36 vs 35.59 %, 50.00 vs 48.57 % respectively, P > 0.05). In addition, no statistical differences were discovered in pregnancy outcomes between Groups A and C (P > 0.05), Groups B and C (P > 0.05).
Conclusions
Intracavitary physiotherapy is not inferior to endometrial scratching on improving implantation and clinical pregnancy rates in patients with RIF after IVF/ICSI cycles.
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Acknowledgments
This study was financially supported by the National Basic Research Program of China (973 program) (2011CB944502, 2012CB944700) and Science research foundation item of no-earnings health vocation (201002013).
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We declare that there are no conflicts of interest.
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Q. Zhang and B. Zhang both the authors contributed equally to this work.
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Zhang, Q., Zhang, B., Yan, J. et al. Intracavitary physiotherapy is not inferior to endometrial scratching in patients with recurrent implantation failure. Arch Gynecol Obstet 291, 173–177 (2015). https://doi.org/10.1007/s00404-014-3382-6
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DOI: https://doi.org/10.1007/s00404-014-3382-6