FIELD: medicine.
SUBSTANCE: superovulation is stimulated, follicles are punctured, oocytesare selected from the follicular fluid and fertilized, embryo are cultured and 1-2 embryo are transferred to the uterine cavity. At that, on 6-8 day of the stimulated cycle, endometrium thickness is determined and at thickness less than 5 mm linear endometrial incisions are performed ensuring preservation of its basal layer, extending from the internal os to the boundary between the body and the uterus bottom. Incisions are arranged circularly along the uterine cavity walls at a distance of 4-8 mm apart. Linear endometrial incision is also performed, ensuring preservation of its basal layer, between the Fallopian tubes mouths. In the particular case, endometrial tissue dissection during for incision formation is made between the forceps jaws, while one jaw is immersed in the endometrium down to the basal layer, excluding penetration, and maintained at the given depth up to the completion of the incision.
EFFECT: method can improve the IVF outcome for women with a critical backlog of endometrium due to normalization of decidua formation and increased endometrial receptivity by maximizing the effect of positive pre-implantation tissue mediators and cytokines in a controlled surgical trauma prior to embryo transfer.
2 cl, 1 ex
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Authors
Dates
2017-04-13—Published
2016-04-13—Filed