Endometrial thickness and live birth rates after IVF: a systematic review

Endometrial thickness and live birth rates after IVF: a systematic review

Authors

Keywords:

endometrial thickness, IVF, ICSI, live birth rates, systematic review

Abstract

Aim:  This study aims to systematically review the current literature on published studies with data on the clinical significance of endometrial thickness on ultrasound for live birth rates after IVF or intracytoplasmic sperm injection (ICSI).

Methods: An extensive systematic review of PubMed, Web of Science, ScienceDirect, Google Scholar, and Open Gray databases, and following hand-search of the reference list of the included studies was performed.

Results:We found 20 eligible studies that evaluated 20 546 patients for endometrial thickness, presented risk factors for decreased endometrial receptivity, and IVF outcomes with fresh and frozen embryo transfer (FET) cycles. The mean age of the patients ranged from 28.86 to 41.03 years. Reported endometrial thickness ranged from <4 mm to >15 mm. The clinical pregnancy rate varied from 9,09% to 61,49% in fresh embryo transfer cycles and from 13,3% to 79,31% in FET cycles. Overall, LBR varied between 4,80% and 48,99% in fresh embryo cycles and between 6.06% and 39,19% in FET cycles. Limitations. Only English-language studies were included; most studies were from the China region; retrospective study design used in most studies; different ET thresholds, which in turn could significantly alter the correlation with pregnancy outcomes; different IVF procedure protocols in fresh or FET cycles.

Conclusions: IVF outcomes in patients with impaired endometrial receptivity do not depend only on the condition of the endometrium. Risk factors and endometrial thickness significantly affect LBR in fresh and FET cycles.

Author Biographies

Indira Karibayeva, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan

Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan

Almagul Kurmanova, Al Farabi Kazakh National University Almaty, Kazakhstan

Department of Medicine

Nagima Mamedalieva, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan

Department of Medicine

Aliya Aimbetova, Scientific Center for Obstetrics, Gynecology and Perinatology Almaty, Kazakhstan

Department of Science

Aigul Terlikbayeva, Scientific Center for Obstetrics, Gynecology and Perinatology Almaty, Kazakhstan

Department of Science

Arzu Mamutova, Akhmet Yassawi International Kazakh-Turkish University Turkestan, Kazakhstan

Department of propaedeutics and internal diseases

Zarina Yerzhan, National Educational Institution "Kazakhstan-Russian Medical University" Almaty, Kazakhstan

Department of Medicine

Sandugash Yerkenova, Kazakhstan’s Medical University “KSPH” Almaty, Kazakhstan

Department of Medicine

Balgyn Zheksembay, Karaganda Medical University, Karaganda, Kazakhstan

Department of General Medicine

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Published

14-06-2023

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Section

REVIEWS CLINICAL ARTICLES, UPDATES, FOCUS ON

How to Cite

1.
Moshkalova G, Karibayeva I, Kurmanova A, Mamedalieva N, Aimbetova A, Terlikbayeva A, et al. Endometrial thickness and live birth rates after IVF: a systematic review. Acta Biomed [Internet]. 2023 Jun. 14 [cited 2024 Jul. 20];94(3):e2023152. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/14437