Introduction: The number of pregnancies obtained through in vitro fertilization (IVF) techniques are increasing, and only few studies have investigated hemodynamic variations in women undergoing IVF techniques. The aim of this study was to evaluate the hemodynamic parameters in women undergoing IVF, to assess a possible correlation between hemodynamics and embryo implantation. Methods: 45 normotensive non-obese women, age <= 43 years, with idiopathic or tubal infertility, referred to the Reproductive Physiopathology and Andrology Unit, Sandro Pertini Hospital, Rome, during the period 2020/2021, underwent IVF techniques. All women were evaluated with Ultra Sonic Cardiac Output Monitor (USCOM) to detect hemodynamic parameters at two different stages: at the mid-luteal phase, before the beginning of IVF, and at the day of embryo transfer (dET). All demographics and hormonal parameters in both groups were comparable. The hemodynamic parameters were compared between women with a positive beta-HCG test vs. those testing negative. Results: 11 out of 45 (24,5%) women obtained positive beta-HCG test. All demographics and hormonal parameters were comparable in both groups. Women with a positive beta-HCG test showed statistically lower systemic vascular resistance (SVR) at mid-luteal phase (868.61 +/- 100.1 vs. 1009 +/- 168.4) and dET (818,9 +/- 104.5 vs 1038.52 +/- 150.82 dynes x s/cm(5)). Conclusions: Hemodynamic assessment can identify a more favorable pre-pregnancy cardiovascular adaptation. Embryo implantation might be positively influenced by the hemodynamic parameters, e.g. lower SVR, before the beginning of IVF techniques, and during the window of implantation.

Galanti, F., Pisani, I., Riccio, S., Farsetti, D., Vasapollo, B., Paolo Novelli, G., et al. (2022). Systemic vascular resistance may influence the outcome of in vitro fertilization. GYNECOLOGICAL ENDOCRINOLOGY, 38(7), 569-572 [10.1080/09513590.2022.2082402].

Systemic vascular resistance may influence the outcome of in vitro fertilization

Daniele Farsetti;Herbert Valensise.
2022

Abstract

Introduction: The number of pregnancies obtained through in vitro fertilization (IVF) techniques are increasing, and only few studies have investigated hemodynamic variations in women undergoing IVF techniques. The aim of this study was to evaluate the hemodynamic parameters in women undergoing IVF, to assess a possible correlation between hemodynamics and embryo implantation. Methods: 45 normotensive non-obese women, age <= 43 years, with idiopathic or tubal infertility, referred to the Reproductive Physiopathology and Andrology Unit, Sandro Pertini Hospital, Rome, during the period 2020/2021, underwent IVF techniques. All women were evaluated with Ultra Sonic Cardiac Output Monitor (USCOM) to detect hemodynamic parameters at two different stages: at the mid-luteal phase, before the beginning of IVF, and at the day of embryo transfer (dET). All demographics and hormonal parameters in both groups were comparable. The hemodynamic parameters were compared between women with a positive beta-HCG test vs. those testing negative. Results: 11 out of 45 (24,5%) women obtained positive beta-HCG test. All demographics and hormonal parameters were comparable in both groups. Women with a positive beta-HCG test showed statistically lower systemic vascular resistance (SVR) at mid-luteal phase (868.61 +/- 100.1 vs. 1009 +/- 168.4) and dET (818,9 +/- 104.5 vs 1038.52 +/- 150.82 dynes x s/cm(5)). Conclusions: Hemodynamic assessment can identify a more favorable pre-pregnancy cardiovascular adaptation. Embryo implantation might be positively influenced by the hemodynamic parameters, e.g. lower SVR, before the beginning of IVF techniques, and during the window of implantation.
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/40
English
In vitro fertilization techniques
Systemic vascular resistance
embryo implantation
hemodynamic assessment
体外受精技术
胚胎植入全身血管阻力
血流动力学评估
Adult
Female
Fertilization in Vitro
Humans
Luteal Phase
Male
Pregnancy
Pregnancy Rate
Vascular Resistance
DEET
Embryo Transfer
Galanti, F., Pisani, I., Riccio, S., Farsetti, D., Vasapollo, B., Paolo Novelli, G., et al. (2022). Systemic vascular resistance may influence the outcome of in&nbsp;vitro fertilization. GYNECOLOGICAL ENDOCRINOLOGY, 38(7), 569-572 [10.1080/09513590.2022.2082402].
Galanti, F; Pisani, I; Riccio, S; Farsetti, D; Vasapollo, B; Paolo Novelli, G; Miriello, D; Rago, R; Valensise, Hcc
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/303736
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