Should patients undergo endometrioma surgery before IVF/ICSI? a retrospective study with propensity score matching.

ABSTRACT:

Research question

Does surgical management of ovarian endometriomas improve in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI)?

Design

This retrospective study analyzed 1,456 IVF/ICSI cycles from June 2017 to September 2022, comparing 530 control cycles with 926 endometriosis (EMS) cycles. The EMS group comprised pre-EMS (non-operated endometriomas, N = 272) and post-EMS (operated endometriomas, N = 654) subgroups. Propensity score matching (PSM) balanced female age, antral follicle count (AFC), body mass index (BMI), anti-Müllerian hormone (AMH), follicle stimulating hormone (FSH), and estradiol levels. Receiver operating characteristic (ROC) analyses identified potential predictors of high-quality D3 embryos and live birth.

Results

After PSM, the E

SUBMITTER: Jin W 

PROVIDER: S-EPMC12487250 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature