Journal of International Reproductive Health/Family Planning

Highlights

Please wait a minute...

For Selected:

Download Citations
EndNote Ris BibTeX

Toggle Thumbnails

Select

14 Cases of Ovarian Torsion after in vitro Fertilization

JIANG Lei, XU Su-xin, HAO Gui-min

Journal of International Reproductive Health/Family Planning 2016, 35 (4): 276-277.

Abstract （3136）

PDF （666KB）（27014）

PDF（mobile）（264KB）（34）

Objective: To analyze the clinical characteristics of ovarian torsion and the early diagnosis by transvaginal sonography in those women who received in vitro fertilization （ＩＶＦ）ｔｒeatment, so as to provide a practical reference for clinical work. Methods：Data of 14 cases of ovarian torsion who received IVF treatment were retrospectively analyzed, from Jan. 2012 to Dec. 2014 in our department. Results：In 14 cases, six cases were treated successfully by bimanual reduction; and 8 cases by laparoscopic surgery, including 4 cases by ipsilateral adnexectomy, 1 case of bilateral ovarian torsion by the ipsilateral adnexectomy and the contralateral ovary reset, and 3 cases by diseased ovary reset. There were 9 cases who had successful pregnancy including 8 live births and 1 early abortion. Conclusions：Combined with the clinical manifestations and signs of ovarian torsion, ultrasound examination is an effective method for the early diagnosis of ovarian torsion. The transvaginal bimanual reset after early diagnosis can effectively decrease the rate of surgery.

Related Articles | Metrics

Select

Application of Gonadotrophin-releasing Hormone Agonist Pretreatment for the Women with Recurrent Implantation Failure in Frozen-thawed Embryo Transfer Cycles

WU Hong-bo;LI Liu-ming;LI Mu-jun;LUO Jiang-xia

Journal of International Reproductive Health/Family Planning 2016, 35 (4): 269-272.

Abstract （2860）

PDF （744KB）（10489）

Objective: To investigate the effects of gonadotrophin releasing hormone agonist (GnRHa) pretreatment on the outcomes of frozen-thawed embryo transfer (FET) cycles and endometrial receptivity for the women with recurrent implantation failure. Methods: A total of 131 women undergoing FET cycles in the reproductive medical center of the First Affiliated Hospital of Guangxi Medical University and the People′s Hospital of Liuzhou with a history of recurrent implantation failure (≥2 times) were enrolled in this retrospective study from January 2014 to August 2015. According to the protocols of endometrial preparation, those women were grouped into two groups: the group A received only hormone replacement treatment (HRT) for endometrial preparation (69 cycles)，and the group B received GnRHa down-regulation pretreatment before HRT (62 cycles). Meanwhile，the 48 patients in group B who had received HRT for endometrial preparation previous FET cycle (sub-groups) were also performed the self-control comparison. Results: There were no statistical differences in the age, duration of infertility, basal endocrine level, body-mass index (BMI), endometrial thickness, number of embryo transferred, number of good-quality embryo, good-quality embryo rate, early abortion rate between the two groups (P＞0.05)，whereas the clinical pregnancy rate and implantation rate as well as the proportion of pattern A endometrial blood flow in group B were significantly higher than those in group A (P＜0.05). The self-control comparison showed that the proportion of pattern A endometrial blood flow was significantly higher in those cycles with GnRHa down-regulation than that in cycles with only HRT (P＜0.05)，and that there were no significant differences in endometrial thickness and the good-quality embryo rate between the two sub-groups (P＞0.05). Conclusions: GnRHa down-regulation pretreatment before HRT can significantly improve the endometrial receptivity and clinical pregnancy rate for the patients with recurrent implantation failure in FET cycle.