Title of article :
An Approach to Improve Endometrial Receptivity: Is It Beneficial to Flush The Uterine Cavity with Follicular Fluid and Granulosa Cells? A Phase III Randomised Clinical Trial
Author/Authors :
Hosseini ، Elham Department of Obstetrics and Gynaecology - Zanjan Metabolic Diseases Research Centre, Mousavi Hospital, School of Medicine - Zanjan University of Medical Sciences , Aghajanpour ، Samaneh Department of Endocrinology and Female Infertility - Reproductive Biomedicine Research Centre, Royan Institute for Reproductive Biomedicine - Academic Center for Education, Culture and Research (ACECR) , Chekini ، Zahra Department of Endocrinology and Female Infertility - Reproductive Biomedicine Research Centre, Royan Institute for Reproductive Biomedicine - Academic Center for Education, Culture and Research (ACECR) , Zameni ، Nadia School of Medicine - Shahid Beheshti University of Medical Sciences , Zolfaghary ، Zahra Department of Basic and Population Based Studies in NCD - Reproductive Epidemiology Research Center, Royan Institute - Academic Center for Education, Culture and Research (ACECR) , Aflatoonian ، Reza Department of Endocrinology and Female Infertility - Reproductive Biomedicine Research Centre, Royan Institute for Reproductive Biomedicine - Academic Center for Education, Culture and Research (ACECR) , Hafezi ، Maryam Department of Endocrinology and Female Infertility - Reproductive Biomedicine Research Centre, Royan Institute for Reproductive Biomedicine - Academic Center for Education, Culture and Research (ACECR)
Abstract :
Background: The follicular fluid (FF) of mature oocytes contains a high concentration of growth factors and cytokinesthat have the potential to influence implantation in either a paracrine or autocrine manner. During the physiologicalprocesses of ovulation, FF enters the fallopian tubes in conjunction with the oocyte. The purpose of this studyis to evaluate implantation and clinical pregnancy rates following uterine flushing with FF and granulosa cells ininfertile women with moderate male factor infertility after ovum retrieval for intracytoplasmic sperm injection (ICSI). Materials and Methods: This phase III randomised clinical trial enrolled 140 women with moderate male factorinfertility who intended to undergo ICSI at Royan Infertility Clinic (Tehran, Iran). A computer-generated program andopaque sealed envelopes were used to randomly allocate patients to either an intervention group (n=70) or a controlgroup (n=70). Participants in the intervention group received 2 ml of clear FF (without blood contamination) from 2to 3 dominant follicles after oocyte retrieval. The control group only underwent uterine cavity catheterisation. Results: The intervention group had a clinical pregnancy rate of 38.5% (25/65) compared to the control group [42.9%(27/63); P=0.719] and an implantation rate of 24.1% compared to the control group (27%; P=0.408). These rates did notdiffer between the groups. There were no statistically significant differences between the intervention and control groupsin terms of pregnancy-related complications-ectopic pregnancy, blighted ovum or anembryonic pregnancy, and abortion. Conclusion: Uterine cavity flushing with FF from mature follicles following oocyte retrieval had no effect, eitherpositively or negatively, on clinical pregnancy or implantation rates in women with moderate male factor infertility(registration number: NCT04077970).
Keywords :
Clinical Pregnancy , Endometrial Receptivity , Follicular Fluid , Granulosa Cell , Implantation
Journal title :
International Journal of Fertility and Sterility
Journal title :
International Journal of Fertility and Sterility
