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RCOG World Congress 2023

June 12 - 14, 2023 | London, UK

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EP.0979

The Impact of Chronic Endometritis, Does Treatment Increase IVF Success Rates?

Part of Topic

Reproductive Medicine/Assisted Reproduction

The Impact of Chronic Endometritis on Infertility, Does Treatment Increase IVF Success Rates?

 

Introduction:

Chronic Endometritis is a serious condition that affects women’s fertility and ability to conceive a child. Hereby, we aim to assess the relationship between infertility and CE with taking into account the success of IVF trials.

Objectives:

•Explore the association between CE and Infertility.
•Compare the success rates between CE and Non-CE women.
 
Material & Methods:

 A case-control study included women suffering from Chronic Endometritis (CE) and infertility. The study was conducted in an IVF unit at King Abdulaziz Medical City, Riyadh, SA (Jan 2016-Dec 2020). Patients were followed for two cycles pre- and post-treatment. Success Rates were calculated based on special formulas (LBR, PR, and IR).

Results:

A total of 148 patients (CE=73 vs. Non-CE=75). The mean age was (CE=37±4.73, Non-CE=36±41). Chronic endometritis patients had the longest infertility duration accounted for 72 months. Majority of CE patients presented with infertility 70 (96%). Doxycycline was given for 44 (60%) of the patients while the rest were given Metronidazole. Pregnancy numbers increased from 3 to 15 after treatment.

Conclusion:

Chronic Endometritis affects female infertility, and its management leads to higher pregnancy and live birth rates. We recommend a detailed and comprehensive study tackling the risk factors and efficacy of CE treatment upon fertility and ART.

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