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Randomized Controlled Trial
. 2020 Sep;33(17):2983-2989.
doi: 10.1080/14767058.2019.1566897. Epub 2019 Jan 22.

Physical endometrial manipulation and its impact on success rate and live birth rate in ICSI in patients with unexplained infertility after recurrent ICSI failure, a double blinded randomized controlled trial

Mahmoud Alalfy  1 , Ahmed Elgazzar  2 , Nevein Ghamry  2 , Heba Elsawah  2 , Ahmed Azkalani  2 , Ahmed El Lithy  2 , Mohamed Hammam  2 , Hassan Gaafar  2 , Hossam Elshenofy  2 , Omar Nagy  1 , Rana Abdella  2 , Yossra Lasheen  2 , Mahmoud Soliman  2 , Amr Wahba  2 , Hisham Haggag  2 , Ayman Hany  2 , Dalia Farouk  2 , Marwa Sharaf  2 , Alaa Hamed Al Arshal  3
Affiliations
Randomized Controlled Trial

Physical endometrial manipulation and its impact on success rate and live birth rate in ICSI in patients with unexplained infertility after recurrent ICSI failure, a double blinded randomized controlled trial

Mahmoud Alalfy et al. J Matern Fetal Neonatal Med. 2020 Sep.

Abstract

Background: Unexplained infertility is a rising problem and endometrial manipulation could be one of the solutions for enhancing the pregnancy rate and live birth rate in such circumstances.Aims: To evaluate the influence of local endometrial physical manipulation with specializd method for endometrial and tubal hydration (Elgazzar and Alalfy technique) on ICSI outcome and in increasing chemical, clinical, and live birth rate in ICSI after previous recurrent ICSI failure in patients with unexplained infertility.Results: When comparing group 1 (hydrotubation group) and group 2 (the control group with no intervention) with regards to the biochemical, clinical, and live birth rate, the hydrotubation group revealed higher rates and a better ICSI outcome.Conclusion: Hydrotubation is useful in increasing biochemical, clinical, and live birth rates after recurrent failed ICSI trials with a specialized method for hydration of endometrium and tubes (Elgazzar and Alalfy technique).

Keywords: Endometrial manipulation; ICSI; hydrotubation; live birth rate; recurrent failure.

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