Editorial
Volume 9 Issue 6 - 2020
Does the Thinness of Endometrium Affect the Incidence of Ectopic Pregnancy in Case of Cleavage Stage Embryo Transfer-A Short Communication
Kulvinder Kochar Kaur1*, Gautam Allahbadia2 and Mandeep Singh3
1Scientific Director, DR Kulvinder Kaur Centre For Human Reproduction, Jalandhar, Punjab, India
2Scientific Director, Rotunda-A Centre for Human reproduction, Mumbai, India
3Consultant Neurologist, Swami Satyanand Hospital, Jalandhar, Punjab, India
*Corresponding Author: Kulvinder Kochar Kaur, Scientific Director, DR Kulvinder Kaur Centre For Human Reproduction, Jalandhar, Punjab, India.
Received:April 15, 2020; Published: May 20, 2020




Earlier we have reviewed regarding the anticipation of ectopic pregnancy (EP) in the absence of pelvic inflammatory disease (PID) and further the role of endometrium as a limiting factor in in vitro fertilization (IVF) [1,2]. The role of thin endometrium and the relation of spontaneous pregnancy has already been reviewed by certain studies [3,4]. Recently Liu., et al. [5], tried to evaluate the effect of endometrial thickness (EMT) on ectopic pregnancy (EP) rate of in frozen embryo transfer (FET) cycles. EP is considered an unwanted result when conducting an in vitro fertilization (IVF) cycle, having marked medical, emotional as well as financial effects for the patients. Most studies that have been large and evaluated > 10yr of results in UK as well as USA have demonstrated that that the chances of EP-correlated with IVF has been 1.5 - 2% with it reducing over time [6,7]. This risk seems to be comparable to the United States (US) general population. But the results of individual evaluations differ with EP rates seem to be (2 - 5%) in certain studies - that have emanated mostly from China [8]. Many risk factors for EP are clear like smoking, tubal disease, pelvic adhesions, pelvic inflammatory disease (PID), previous ectopic pregnancy, multiple ET’s as well as cleavage stage ET’s.

References

  1. Kulvinder Kochar Kaur., et al. “"Anticipating the occurrence of tubal ectopic pregnancy in the absence of history of pelvic inflammatory disease”-a short communication”. MOJ Surgery2 (2019): 23-24.
  2. Kulvinder Kochar Kaur., et al. “How Close we have Reached in Overcoming the Limiting Factor in IVF-ET Success Namely the Endometrium”. EC Gynaecology1 (2020): 1-3.
  3. Yadav P., et al. “Evaluation of sonographic endometrial patterns and endometrial thickness as predictors of ectopic pregnancy”. International Journal of Gynecology and Obstetrics 1 (2017): 70-75.
  4. Hammoud AO., et al. “The role of sonographic endometrial patterns and endometrial thickness in the differential diagnosis of ectopic pregnancy”. American Journal of Obstetrics and Gynecology 5 (2005): 1370-1375.
  5. Liu H., et al. “Effect of endometrial thickness on ectopic pregnancy in frozen embryo transfer cycles: an analysis including 17,244, pregnancy cycles”. Fertility and Sterility 1 (2020): 131-140.
  6. Perkins KM., et al. “Risk of ectopic pregnancy associated with assisted reproductive technology in the United States. 2001-2011”. Obstetrics and Gynecology 1 (2015): 70-78.
  7. Santos-Ribeiro S., et al. “Trends in ectopic pregnancy rates following assisted reproductive technology in the UK: A 12 year nationwide analysis including 160,000 pregnancies”. Human Reproduction 2 (2016): 393-402.
  8. Huang B., et al. “Is frozen embryo transfer cycle associated with a significantly lower incidence of ectopc pregnancy? An analysis of more than 30,000 cycles”. Fertility and Sterility 5 (2014): 1345-1349.
  9. Rombauts L., et al. “Risk of ectopic pregnancy is linked to endometrial thickness in a retrospective cohort study of 8120 assisted reproductive technology cycles”. Human Reproduction 12 (2015): 2846-2852.
  10. Xu Z., et al. “Effect of treatment of a previous ectopic pregnancy on in vitro fertilization-intracytoplasmic sperm injection outcomes: a retrospective cohort study”. Fertility and Sterility 6 (2015): 1446-1451.e3.
  11. Jia-Rong Z., et al. “Eutopic or ectopic pregnancy: a competition between signals derived from the endometrium and the fallopian tube for blastocyst implantation”. Placenta10 (2009): 835-839.
  12. Maekawa R., et al. “Thin endometrium transcriptome analysis reveals a potential mechanism of implantation failure”. Reproductive Medicine and Biology 2 (2017): 206-227.
  13. Babayev E and Robins JC. “Endometrial thickness as an independent risk factor for ectopic pregnancy in in vitro fertilization: should we change our counselling and practice”. Fertility and Sterility 1 (2020): 78-79.
Citation: Kulvinder Kochar Kaur., et al. “Does the Thinness of Endometrium Affect the Incidence of Ectopic Pregnancy in Case of Cleavage Stage Embryo Transfer-A Short Communication”. EC Gynaecology 9.6 (2020): 49-51.

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