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Purpose uterus endometriosis (endometriosis) one of the main symptoms of infertility, but its date researchers unknown mechanism lead to infertility, Endometriosis infertility treatment at the exploratory stage. With the development of assisted reproductive technology, the IVF embryo transfer has been widely used for the treatment of endometriosis-related infertility, but its effect there is considerable controversy. This study was designed by one of the internal endometriosis is the most common pathological type of ovarian endometriosis cysts, analyze their patients for in vitro fertilization and embryo transfer (IVF-ET) or egg intracytoplasmic sperm injection - embryo transfer (ICSI-ET), a preliminary study on ovarian endometrial cysts in patients with ovarian function, egg and embryo quality, endometrial receptivity such: and had line ovarian endometrial cysts stripping In addition to the comparison of patients with no history of ovarian surgery to explore ovarian endometriosis cyst cystectomy on ovarian reserve. Methods A retrospective analysis of 108 patients (124 cycles) ovarian endometriosis cysts IVF-ET or ICSI-ET progesterone (A) medical records, and according to the presence or absence of cystectomy surgery, points A1 group: 78 patients (88 cycles) had unilateral or bilateral ovarian endometriosis cystectomy surgery; A2 group: 30 patients (36 cycles) no history of ovarian surgery, the clinical diagnosis of ovarian uterus endometriotic cysts, ultrasound-guided puncture and cytologically confirmed. The same period the simple tubal obstruction line IVF-ET or ICSI-ET Zhuyun 113 patients (127 cycles) of infertility patients as a control group (B). The basic set antral follicle count, basal FSH values ??respectively statistics; stimulation in E2 value during ovulation ovarian response to gonadotropin (Gn), HCG injection day 1.4cm above the number of follicles and endometrial; oocytes retrieved number, fertilization rate, rate gifted embryo, implantation rates; pregnancy and abortion and so on. The use of statistical software SPSS16.0 statistical tests for each variable. Results was no significant difference in ovarian endometrial cysts group with tubal factor in patients age (31.61 ± 3.10 years, 32.35 ± 4.33 years) (p> 0.05). Ovarian endometriosis cyst group compared with tubal factor group, longer duration of infertility (5.70 ± 2.89, 4.78 ± 2.93 years), p <0.05; higher proportion of the share of primary infertility (67.70%, 37.00 %), p <0.05; higher basal FSH levels (9.86 ± 4.38IU / L, 8.02 ± 1.89IU / L), p <0.05; basis of the number of antral follicles less (9.36 ± 3.85, 12.23 ± 3.60 unit) p <0.05; process of ovulation induction, Gn medication time longer (10.70 ± 1.76 days, 9.39 ± 1.48 days), p <0.05; Gn large dosage (3660.12 ± 1631.76IU, 2157.80 ± 857.68IU), p <0.05 ; less day of HCG injection more than 1.4cm follicle (6.32 ± 3.52 and 8.50 ± 3.69), p <0.05; day of HCG injection lower value of E2 (2426.48 ± 1521.42 pg / ml, 3217.09 ± 2343.99pg/ml) p <0.05; small number of oocytes (9.43 ± 6.34, 13.57 ± 8.23), p <0.05. Day of HCG injection obvious partial intimal thickness (1.16 ± 0.20 cm, 1.07 ± 1.18 cm) (p <0.05), but no significant morphological differences in intimal IVF fertilization rates were similar in the two groups of patients (71.66%, 72.51%), p> 0.05; ICSI fertilization rate approximation (85.71%, 82.31%), p> 0.05; excellent embryo rate approximation (52.23%, 51.50%), p> 0.05. Ovarian endometrial cyst group compared with tubal factor group, embryo transplant cycles ones (8.87%, 1.57%), p <0.05: the average number of embryos less than normal (2.15 ± 0.54, 2.33 ± 0.56 Ge) , p <0.05; groups biochemical pregnancy rate approximation (51.85%, 50.47%), p> 0.05; clinical pregnancy rate approximation (38.89%, 42.99% of), p> 0.05; embryo implantation rate approximation (25.43% 25.70%), p> 0.05; 12 weeks after the ongoing pregnancy rate also approximate (84.21%, 84.78%), p> 0.05. Ovarian endometriosis cystectomy surgery than those with no surgical history, basal FSH level approximation (of 997 ± 4.45IU / L, 9.58 ± 4.26 IU / L), p> 0.05; basis of the number of antral follicles approximation (9.42 ± 4.01, 9.22 ± 3.48), p> 0.05; approximation the Gn medication days (10.73 ± 1.79 days, 10.64 ± 1.69 days), p> 0.05; Gn dosage approximation (3660.12 ± 1631.76IU, 3777.78 ± 1408.12IU) , p> 0.05; history of cystectomy group was injected HCG day 1.4cm more than the number of follicles was significantly less than normal (5.70 ± 3.22, 7.81 ± 3.79), p <0.05: day of HCG injection E2 was lower ( 2234.90 ± 1331.42pg/ml, 2894.78 ± 1846.71 pg / ml), p <0.05; too few number of oocytes (8.38 ± 5.62, 12.00 ± 7.30 Ge) (p <0.05). Conclusion ① ovarian endometriosis cysts is lower than the same age group in patients with tubal factor infertility ovarian reserve ovarian endometrioma cystectomy in a certain extent, the response of the ovaries of Gn reduce this damage will increase . ② ovarian endometrial cyst does not affect the pregnancy outcome of IVF.
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