1. The precise determination of the window of implantation significantly improves ART outcomes
- Author
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M Ferrández-Rives, E Pérez-Larrea, I Jurado, B Rodríguez-Estrada, Jon Aizpurua, M Enciso, K Marron, J. Sarasa, A B Climent, and E Rodríguez
- Subjects
0301 basic medicine ,Adult ,Pregnancy Rate ,Science ,Endometrium ,Article ,Andrology ,03 medical and health sciences ,0302 clinical medicine ,Medical research ,Pregnancy ,medicine ,Genetics ,Single Embryo Transfer ,Humans ,Embryo Implantation ,Retrospective Studies ,030219 obstetrics & reproductive medicine ,Multidisciplinary ,Molecular medicine ,business.industry ,Gene Expression Profiling ,medicine.disease ,Embryo Transfer ,Microarray Analysis ,Embryo transfer ,Abortion, Spontaneous ,030104 developmental biology ,medicine.anatomical_structure ,Clinical value ,Medicine ,Female ,Endometrial receptivity ,Human endometrium ,business ,Transcriptome ,Infertility, Female - Abstract
The human endometrium is receptive to the embryo for a specific period of time known as the window of implantation (WOI). During this period, the endometrium shows a specific gene expression profile suitable for endometrial function evaluation. ER Map is a molecular tool able to accurately predict endometrial receptivity status by transcriptomic analysis. In this retrospective study, including 2256 subfertile patients undergoing ART treatment, the clinical value of precise WOI determination is studied in detail. Results obtained when single embryo transfers (sET) were scheduled either within the WOI timeframe as established by ER Map, or deviating from this WOI, are assessed and compared. Data obtained showed that 34.18% (771/2256) of patients had a displaced WOI. Analysis of ART outcomes showed significantly higher pregnancy rates in transfers scheduled within the WOI predicted compared to transfers that deviated more than 12h from this WOI (44.35% vs 23.08%, p
- Published
- 2021