Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control

OBJECTIVE: This study aimed to compare cycle outcomes among women with endometrioma or non-functional cysts versus control. STUDY DESIGN: Women under 35 years of age with unexplained infertility underwent in vitro fertilization cycle. Two hundred and ninety-nine women were included in this study....

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Main Authors: Enis Ozkaya, Ebru Cogendez, Elif Tozkir, Saadet Unsal, Ahmet Yavuz, Gulden Tunali, Ozgur Uzun, Evrim Bostancı Ergen, Semra Kayatas Eser
Format: Article
Language:English
Published: Medical Network 2021-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/1110
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author Enis Ozkaya
Ebru Cogendez
Elif Tozkir
Saadet Unsal
Ahmet Yavuz
Gulden Tunali
Ozgur Uzun
Evrim Bostancı Ergen
Semra Kayatas Eser
author_facet Enis Ozkaya
Ebru Cogendez
Elif Tozkir
Saadet Unsal
Ahmet Yavuz
Gulden Tunali
Ozgur Uzun
Evrim Bostancı Ergen
Semra Kayatas Eser
author_sort Enis Ozkaya
collection DOAJ
description OBJECTIVE: This study aimed to compare cycle outcomes among women with endometrioma or non-functional cysts versus control. STUDY DESIGN: Women under 35 years of age with unexplained infertility underwent in vitro fertilization cycle. Two hundred and ninety-nine women were included in this study. Study groups consist of women with endometrioma (n=82) or non-functional ovarian cysts (n=100) and control group (n=117). Women in each group were selected consecutively. Groups were matched for age and ovarian reserve and compared in terms of in vitro fertilization cycle outcome. RESULTS: There were no significant differences among groups in terms of mean age, early follicular phase Follicle-Stimulating Hormone, and anti-müllerian hormone levels (p>0.05). Baseline total antral follicle counts were similar among groups (p>0.05). There were significant differences among groups in terms of mean starting and total gonadotropin dose, peak estradiol level, total oocyte number, and mature oocyte numbers (p<0.05). Clinical pregnancy rates were 10.7%, 17.3%, and 31.6% in groups with non-functional cyst, endometrioma and control group respectively (p<0.05). The presence of a non-functional cystic mass of ovary on the starting day of stimulation was a risk factor for poor cycle outcome in terms of clinical pregnancy rates [OR=0.5 (95 % CI; 0.2-0.9, p=0.03)]. CONCLUSION: Our data showed that the presence of any kind of cystic mass of the ovary especially the non-functional cysts on the starting day of stimulation was a risk factor for poor cycle outcomes in terms of clinical pregnancy rates.
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spelling doaj-art-5dd659ef86a84a0295e28993f0dcf7f02025-02-11T21:13:46ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182021-12-0127310.21613/GORM.2020.1110Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus ControlEnis Ozkaya0Ebru Cogendez1Elif Tozkir2Saadet Unsal3Ahmet Yavuz4Gulden Tunali5Ozgur Uzun6Evrim Bostancı Ergen7Semra Kayatas Eser8Department of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Histology and embryology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Histology and embryology, Istanbul University-Cerrahpasa medical schoolDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research Hospital OBJECTIVE: This study aimed to compare cycle outcomes among women with endometrioma or non-functional cysts versus control. STUDY DESIGN: Women under 35 years of age with unexplained infertility underwent in vitro fertilization cycle. Two hundred and ninety-nine women were included in this study. Study groups consist of women with endometrioma (n=82) or non-functional ovarian cysts (n=100) and control group (n=117). Women in each group were selected consecutively. Groups were matched for age and ovarian reserve and compared in terms of in vitro fertilization cycle outcome. RESULTS: There were no significant differences among groups in terms of mean age, early follicular phase Follicle-Stimulating Hormone, and anti-müllerian hormone levels (p>0.05). Baseline total antral follicle counts were similar among groups (p>0.05). There were significant differences among groups in terms of mean starting and total gonadotropin dose, peak estradiol level, total oocyte number, and mature oocyte numbers (p<0.05). Clinical pregnancy rates were 10.7%, 17.3%, and 31.6% in groups with non-functional cyst, endometrioma and control group respectively (p<0.05). The presence of a non-functional cystic mass of ovary on the starting day of stimulation was a risk factor for poor cycle outcome in terms of clinical pregnancy rates [OR=0.5 (95 % CI; 0.2-0.9, p=0.03)]. CONCLUSION: Our data showed that the presence of any kind of cystic mass of the ovary especially the non-functional cysts on the starting day of stimulation was a risk factor for poor cycle outcomes in terms of clinical pregnancy rates. https://gorm.com.tr/index.php/GORM/article/view/1110cystsEndometriomaIn vitro fertilizationThe clinical pregnancy rate
spellingShingle Enis Ozkaya
Ebru Cogendez
Elif Tozkir
Saadet Unsal
Ahmet Yavuz
Gulden Tunali
Ozgur Uzun
Evrim Bostancı Ergen
Semra Kayatas Eser
Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control
Gynecology Obstetrics & Reproductive Medicine
cysts
Endometrioma
In vitro fertilization
The clinical pregnancy rate
title Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control
title_full Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control
title_fullStr Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control
title_full_unstemmed Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control
title_short Comparison of Cycle Outcomes among Women with Endometrioma or Non-Functional Cysts Versus Control
title_sort comparison of cycle outcomes among women with endometrioma or non functional cysts versus control
topic cysts
Endometrioma
In vitro fertilization
The clinical pregnancy rate
url https://gorm.com.tr/index.php/GORM/article/view/1110
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