הפרייה חוץ גופית

לא ברור לי מדוע את חושבת שהסיכויים "קלושים", הדבר תלוי באיכות העוברים, ופעולת ה- HATCHING מעלה את סיכויי ההצלחה. ישנם מחקרים (ראי למטה) שמורים שפוליפים קטנים אינם פוגעים משמעותית בסיכוי להרות, אך אולי מעלים את הסיכוי להפלה. אני מניח שעל סמך הכרות איתך הרופאים הניחו שהסיכוי שאכן מדובר בפוליפים קטן. J Assist Reprod Genet 1999 Sep;16(8):410-5 The effect of endometrial polyps on outcomes of in vitro fertilization (IVF) cycles. Lass A, Williams G, Abusheikha N, Brinsden P. Bourn Hall Clinic, Cambridge, UK. PURPOSE: Our purpose was to investigate the effect of endometrial polyps on pregnancy outcome in an in vitro fertilization (IVF) program. METHODS: Endometrial polyps less than 2 cm in diameter were suspected by transvaginal ultrasound before oocyte recovery in 83 patients. Forty-nine women (Group I) had standard IVF-embryo transfer, while in 34 women (Group II) hysteroscopy and polypectomy were performed immediately following oocyte retrieval, the suitable embryos were all frozen, and the replacement cycle took place a few months later. RESULTS: Of the 32 hysteroscopies, a polyp was diagnosed in 24 cases (75%) and polypoid endometrium in another 5 patients (15.6%). An endometrial polyp was confirmed by histopathological examination in 14 women (58.3%). The pregnancy rate in group I was similar to the general pregnancy rate of our unit over the same period (22.4 vs 23.4%) but the miscarriage rate was higher (27.3 vs 10.7%, P = 0.08). In Group II, the pregnancy and miscarriage rates were similar to those of the frozen embryo cycles at Bourn Hall (30.4 and 14.3 vs 22.3 and 12.1%, respectively). CONCLUSIONS: Small endometrial polyps, less than 2 cm, do not decrease the pregnancy rate, but there is a trend toward increased pregnancy loss. A policy of oocyte retrieval, polypectomy, freezing the embryos, and replacing them in the future might increase the "take-home baby" rate.