Endometrial scratching during hysteroscopy in women undergoing
IVF
endometrial scratching
hysteroscopy
repeated implantation failure
reproductive outcomes
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2023
2023
Historique:
received:
18
05
2023
accepted:
06
09
2023
medline:
5
10
2023
pubmed:
5
10
2023
entrez:
5
10
2023
Statut:
epublish
Résumé
Endometrial scratching (ES) during hysteroscopy before embryotransfer (ET) remains doubtable on whether it benefits the reproductive outcomes. The optimal technique is not clear and repeated implantation failure as a challenging field in Medline, PMC, ScienceDirect, Scopus, CENTRAL, Google Scholar were searched from their inception up to April 2023 for studies to evaluate the effectiveness of adding endometrial scratching during hysteroscopy before ET. The initial search yielded 959 references, while 12 eligible studies were included in the analyses, involving 2,213 patients. We found that hysteroscopy and concurrent ES before ET resulted in a statistically significant improvement in clinical pregnancy rate (CPR) [RR = 1.50, (95% CI 1.30-1.74), Our meta-analysis suggests that hysteroscopy with concurrent ES may be offered in IVF before ET as a potentially improving manipulation. Future randomized trials comparing different patient groups would also provide more precise data on that issue, to clarify specific criteria in the selection of patients. PROSPERO (CRD42023414117).
Identifiants
pubmed: 37795147
doi: 10.3389/fsurg.2023.1225111
pmc: PMC10546045
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1225111Informations de copyright
© 2023 Papanikolaou, Peitsidis, Tsakiridis, Michos, Skalias, Patoulias, Poutoglidis, Mamopoulos, Athanasiadis, Grimpizis and Najdecki.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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