Name: Atheer Abdulla Aldosari
Email: draaaldosari@gmail.com
Name: Hanan Awad Alanazi
Email: doctorhanan2009@gmail.com
“THE PREDICTIVE VALUE OF ENDOMETRIAL THICKNESS AND PATTERN ON REPRODUCTIVE OUTCOME IN THE FIRST FRESH IVF/ICSI CYCLE “
Abstract
The endometrium plays a crucial role in successful implantation during assisted reproductive techniques such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). Prior research has established a correlation between endometrial thickness and reproductive outcomes; however, the optimal thickness for improved live birth rates (LBR) remains debated. This study aimed to investigate the relationship between endometrial thickness and the live birth rate in IVF/ICSI cycles, while also assessing the impact of endometrial pattern independent of thickness. A retrospective analysis was conducted on patients undergoing IVF/ICSI treatments between [insert study period]. Endometrial thickness was measured via transvaginal ultrasound prior to embryo transfer. Participants were divided into groups based on thickness: <8 mm, 8-11 mm, 12-14 mm, and >14 mm. Clinical pregnancy rates and LBRs were compared across these groups. The findings revealed that endometrial thickness of 8 mm or greater significantly correlated with improved LBR. Notably, participants with thickness above 11 mm exhibited the highest clinical pregnancy rates, with a plateau observed at 14 mm, after which a decrease in outcomes was noted. Furthermore, the endometrial pattern demonstrated a significant association with reproductive success independent of thickness, suggesting it is an essential factor in the IVF process. This study confirms that adequate endometrial thickness is vital for favorable IVF/ICSI outcomes, with optimal thickness observed at 11 mm. Moreover, the endometrial pattern significantly influences reproductive success, indicating that both thickness and morphological characteristics should be considered in clinical practice. Future studies with larger sample sizes are required to further elucidate the predictive effects of endometrial parameters on IVF/ICSI success.
Keywords:
Endometrial Thickness – IVF (In Vitro Fertilization) – ICSI (Intracytoplasmic Sperm Injection) – Endometrial Pattern – Assisted Reproductive Technology (ART) -Endometrial Receptivity – Embryo Implantation
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