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Master Thesis

Prise en charge secondaire à une première tentative de fécondation in-vitro sans transfert embryonnaire : analyse des résultats du centre clinico-biologique d’assistance médicale à la procréation du CHU Grenoble-Alpes

Abstract : Objectives: The main objective was to analyze the outcome of the secondary care in IVF after a first attempt without embryo transfer. Secondary objectives were to define changes between attempts and their link to results. Materials and methods: This was an epidemiological descriptive and single-center study conducted in the clinical and biological center of assisted procreation of Grenoble between January 2010 and April 2015. This study looked at 149 IVF files without transfer of rank 1 with a secondary support. Two groups were defined : conventional IVF and IVF with ICSI. And four etiology of the absence of embryo transfer were found : less than three oocytes punctured, fertilization failure, poor quality oocyte and embryo bad development. Results: The secondary support was characterized by an adaptation of ovarian stimulation protocol in 92 % of cases. Changes made between the two attempts had obtained an embryonic transfer rate of 70.9 % and pregnancy after embryo transfer rate of 27.2 %. Conclusion: The pursuit of assisted procreation steps after an absence of embryo transfer at the first attempt was legitimate because a secondary support adapted with optimal ovarian stimulation allowed an acceptable rate of embryonic transfer and pregnancy.
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https://dumas.ccsd.cnrs.fr/dumas-01349673
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Submitted on : Thursday, July 28, 2016 - 12:01:01 PM
Last modification on : Wednesday, July 15, 2020 - 9:38:04 AM
Long-term archiving on: : Saturday, October 29, 2016 - 11:09:28 AM

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  • HAL Id : dumas-01349673, version 1

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Camille Legallois. Prise en charge secondaire à une première tentative de fécondation in-vitro sans transfert embryonnaire : analyse des résultats du centre clinico-biologique d’assistance médicale à la procréation du CHU Grenoble-Alpes. Gynécologie et obstétrique. 2016. ⟨dumas-01349673⟩

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