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Routine endometrial receptivity array in first embryo transfer cycles does not improve live birth rate
Fertility and Sterility ( IF 6.6 ) Pub Date : 2021-01-01 , DOI: 10.1016/j.fertnstert.2020.09.140
Carrie Riestenberg 1 , Lindsay Kroener 1 , Molly Quinn 1 , Kaycee Ching 2 , Gayane Ambartsumyan 3
Affiliation  

OBJECTIVE To compare the live birth rate between patients who undergo personalized embryo transfer (pET) after endometrial receptivity array (ERA) versus frozen embryo transfer (FET) with standard timing in first single euploid FET cycles. To report the rate of displacement of the window of implantation (WOI) in an infertile population without a history of implantation failure. DESIGN Prospective cohort study of patients who underwent their first single euploid programmed FET. SETTING Private fertility clinic. PATIENT(S) Patients who underwent first autologous single euploid programmed FET between January 2018 and April 2019. INTERVENTION(S) Endometrial biopsy with ERA followed by pET as indicated. MAIN OUTCOME MEASURE(S) Live birth rate and rate of receptive and nonreceptive ERA. RESULT(S) A total of 228 single euploid FET cycles were included in our analysis. Of those, 147 (64.5%) were ERA/pET cycles, and 81 (35.5%) were standard timing FET cycles. Endometrial receptivity array was receptive in 60/147 (40.8%) and nonreceptive in 87/147 (59.2%) patients. Nonreceptive ERAs were prereceptive in 93.1% of cases. The live birth rate did not differ between patients who underwent FET with standard timing and patients who underwent ERA/pET, 45/81 (56.6%) and 83/147 (56.5%), respectively. CONCLUSION(S) Our data do not support the routine use of ERA in an unselected patient population undergoing first autologous single euploid programmed embryo transfer.

中文翻译:

第一个胚胎移植周期中的常规子宫内膜容受性阵列不会提高活产率

目的 比较子宫内膜容受性阵列 (ERA) 后接受个性化胚胎移植 (pET) 与冷冻胚胎移植 (FET) 的患者在第一个单整倍体 FET 周期中采用标准时间的活产率。报告在没有植入失败史的不育人群中植入窗口 (WOI) 的位移率。设计 对接受第一个单倍体程序化 FET 的患者进行的前瞻性队列研究。设置私人生育诊所。患者 2018 年 1 月至 2019 年 4 月期间接受首次自体单倍体程序化 FET 的患者。主要结果测量活产率和接受性和非接受性 ERA 率。结果 我们的分析中包括总共 228 个单倍体 FET 循环。其中,147 个 (64.5%) 是 ERA/pET 循环,81 个 (35.5%) 是标准定时 FET 循环。子宫内膜容受性阵列在 60/147 (40.8%) 患者中有容受性,在 87/147 (59.2%) 患者中无容受性。非接受性 ERA 在 93.1% 的病例中具有先入性。接受标准时间接受 FET 的患者和接受 ERA/pET 的患者的活产率分别为 45/81 (56.6%) 和 83/147 (56.5%)。结论(S)我们的数据不支持在未经选择的患者群体中常规使用 ERA,这些患者群体正在接受首次自体单整倍体程序化胚胎移植。8%) 并且在 87/147 (59.2%) 患者中不接受。非接受性 ERA 在 93.1% 的病例中具有先入性。接受标准时间接受 FET 的患者和接受 ERA/pET 的患者的活产率分别为 45/81 (56.6%) 和 83/147 (56.5%)。结论(S)我们的数据不支持在未经选择的患者群体中常规使用 ERA,该患者群体正在接受首次自体单整倍体程序化胚胎移植。8%) 和 87/147 (59.2%) 患者不接受。非接受性 ERA 在 93.1% 的病例中具有先入性。接受标准时间接受 FET 的患者和接受 ERA/pET 的患者的活产率分别为 45/81 (56.6%) 和 83/147 (56.5%)。结论(S)我们的数据不支持在未经选择的患者群体中常规使用 ERA,该患者群体正在接受首次自体单整倍体程序化胚胎移植。
更新日期:2021-01-01
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