Author:
Adnyana Ida Bagus Putra,Permadi I Gusti Ngurah Wiranta,Lazarosony Nicholas Renata
Abstract
Background: In vitro fertilization is the final option for treating infertile couples. The main determinants of the success of an in vitro fertilization (IFV) program are embryo quality, endometrial receptivity, and embryo transfer technic. When performing an embryo transfer, try to use a soft catheter and easily visible in the uterus with ultrasonography (USG) monitoring. One solution to this is soft echogenic catheter, as the echogenicity is shown and seen with USG will be able to reduce trauma and excessive uterine manipulation, and increase embryo implantation in the uterine wall.
Objective: To determine the effectivity of echogenic catheter during embryo transfer in increasing implantation success.
Materials and Methods: This study was a clinical trial conducted at the IVF unit at Bali Royal Hospital Denpasar from August 2018 to December 2019. All participants who took part in the IFV program, who met the requirements, were split into two groups. The case group was echogenic catheter group and the non-echogenic/standard catheter group, which served as the control group. The outcomes of both groups were then identified and compared. The results of this study were statistically tested using SPSS 13 method.
Results: For this study, 38 samples were collected and split into two groups. Each case and control groups had 19 samples. There was no significant difference between two groups of all the confounding variables, except for the antral follicle with a mean of 5.58 ± 2.219 in the echogenic catheter group compared to 7.58 ± 2.893 in the non-echogenic catheter group. While the implantation outcome was 3 times greater in the echogenic catheter group, with 6 (31.6%) samples compared to 2 (10.5%) samples in the non-echogenic catheter group, the difference was not statistically significant (p > 0.05).
Conclusion: There is no significant difference between the outcome of echogenic catheter group and non-echogenic catheter group.
Publisher
European Open Science Publishing
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