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• W2510100181 abstract "To evaluate the effect of hysteroscopy performed on the day of egg retrieval on susequent implantation after embryo transfer during the same cycle. Case series in a private infertility center. Three patients undergoing ovarian stimulation for IVF and one patient ungergoing endometrial preparation for oocyte donation had a transvaginal ultrasound suggestive of endometrial polyp around the time of egg retrieval. All patients had a previous diagnosis of endometrial polyp by saline infusion sonohysterography (SIS) within the previous 3 months. Hysteroscopy had been performed by their referring gynecologist. The possible effect of the polyp on implantation was discussed with the patient and the decision was taken to perform hysteroscopy on the day of egg retrieval. Hysteroscopy confirmed the presence of endometrial polyp(s) in all cases. Polypectomy using a polyp grasper though a 3.8 mm hysteroscope (Wolf, Germany) was performed. Postoperatively, patients reported no discomfort and vaginal bleeding was minimal. As expected, transvaginal ultrasound performed immediately post-hysperoscopy showed the presence of intracavitary fluid. On the following day there was no bleeding and a transvaginal ultrasound revealed a trilaminar endometrium with no intracavitary fluid. Embryo transfer was performed under ultrasound guidance on day 3 (3 IVF patients) or day 5 (one oocyte donation patient).. Case 1. 35 year old woman with premature ovarian failure. Polipectomy was performed on the day of the donor's egg retrieval. Two blastocysts were transferred 5 days later and a twin gestation resulted. Two healthy babies were delivered by cesarean section at 36 weeks' gestation without complications. Case 2. 41 year old patient with poor ovarian reserve. Hysteroscopy was performed at the time of egg retrieval and two polyps were removed. One embryo was transferred on day 3 resulting in a singleton gestation. A healthy baby was delivered vaginally at 40 weeks gestation without complications. Case 3. 36 year old patient who had polipectomy performed on the day of egg retrieval. Two embryos were transferred on day 3 and the result was a biochemical pregnancy. Case 4. 40 year old patient who had polipectomy performed on the day of egg retrieval. After transfer of one embryo on day 3, no pregnancy ensued. Hysteroscopic polypectomy may be performed around the time of egg retrieval in patients who unexpectedly present with endometrial polyp during stimulation. Gentle endometrial manipulation and polyp removal does not seem to have a negative effect on implantation." @default.
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• W2510100181 date "2016-09-01" @default.
• W2510100181 modified "2023-10-12" @default.
• W2510100181 title "Hysteroscopic polypectomy on the day of egg retrieval followed by embryo transfer on day 3 or day 5 does not seem to negatively affect implantation: a case series" @default.
• W2510100181 doi "https://doi.org/10.1016/j.fertnstert.2016.07.640" @default.
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