Evidence map›Paper›PMID 40965608›Full record

ArticleJournal of assisted reproduction and genetics2025

Beyond oocyte quantity: the paradoxical role of poor ovarian response in live birth outcomes among endometriosis patients undergoing IVF/ICSI-ET.

Qiaomei Zheng, Jie Li, Shaozhan Chen, Jinhua Wang, Lihong Chen

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Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Qiaomei Zheng *Fujian Key Laboratory of Precision Medicine for Cancer, Department of Obstetrics and Gynecology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Jie Li *Department of Ultrasonography, Guizhou Provincial People's Hospital, Guiyang, Guizhou, People's Republic of China.
Shaozhan Chen *Fujian Key Laboratory of Precision Medicine for Cancer, Department of Obstetrics and Gynecology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Jinhua WangFujian Key Laboratory of Precision Medicine for Cancer, Department of Obstetrics and Gynecology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China. wangjinhua@fjmu.edu.cn.
Lihong ChenFujian Key Laboratory of Precision Medicine for Cancer, Department of Obstetrics and Gynecology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China. chenlihong_0102@126.com.ORCID http://orcid.org/0000-0003-2514-2913

Funding

Fujian Provincial Health Technology Project 2024CXA025Joint Funds for the Innovation of Science and Technology, Fujian Province 2023Y9051
6 · The paper itself

Abstract

purposeTo evaluate the impact of poor ovarian response (POR) on live birth outcomes in endometriosis patients undergoing IVF/ICSI-ET, despite the expected association between reduced oocyte yield and poorer prognosis.

methodsPatients were divided into two groups as endometriosis group (n = 55) and tubal factor group (n = 107). The primary outcomes included clinical pregnancy rate, live birth rate per embryo transfer cycle, and cumulative live birth rate. Secondary outcomes were controlled ovarian hyperstimulation (COH) results and embryo parameters.

resultsThe incidence rate of POR increased significantly in endometriosis group (18.9% vs. 5.60%, P < 0.05). Similarly, the number of oocytes retrieved, the number of D3 high quality embryos, and the number of available embryos were fewer in endometriosis group (P < 0.05). However, total number of available embryos, clinical pregnancy rates per transfer cycle, live birth rates per transfer cycle, and cumulative birth rate were found to be similar in both groups (P > 0.05). The presence of POR was found to have no significant impact on the cumulative live birth rate among patients with endometriosis.

conclusionsWhile linked to fewer oocytes per cycle, POR does not predict poorer IVF/ICSI-ET outcomes in endometriosis patients. Patient age, not POR or endometriosis itself, is the primary determinant of live birth success. This study challenges the conventional emphasis on oocyte quantity, advocating for a paradigm shift toward individualized, quality-focused ART strategies in endometriosis-related infertility.

Indexed as

EndometriosisFertilization in VitroInfertility, FemaleOocytesSperm Injections, IntracytoplasmicAdultBirth RateEmbryo TransferFemaleHumansLive BirthOocyte RetrievalOvulation InductionPregnancyPregnancy OutcomePregnancy RateCumulative live birth rateEndometriosisInfertilityIn vitro fertilization/intracytoplasmic sperm injection-embryo transferPOR

Identifiers

PMID40965608
PMCPMC12705479

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