Abstract:

The purpose is to compare the results of in vitro fertilization and embryo transfer (IVF-ET) of infertile events diagnosed with severe vaginism with healthy infertile controls. Methods: 29 patients were selected among the applicants with the Vaginism-related infertility complaint. The diagnosis and severity of vaginism was placed according to the Lamont-Pacik system. Five women with mild vaginism forms were treated by other methods. In total, 20 of the 24 phenomena involved in the study and diagnosed with severe vaginism were Lamont grade 3 and the remaining 4 phenomena were Lamont grade 4. 24 patients diagnosed with unexplicable infertility were selected as a control group. Results: 15 of twenty-four patients were in the first IVF-ET trial, 8 were in the second and one was in the fourth trial. The body mass index (VMI) was normalized to 21 women with vaginism with abdominal ultrasound. In 3 cases with high VKI, both folliculometry and endometrial assessments were performed with transvaginal ultrasound under sedation. Twenty-seven cycles were one ET, and eight cycles were two ET. In the 20 of thirty-nine cycles, beta human carionic gonodotropin positive was detected. Similarly, clinical pregnancy was detected in 20 cases (51.2%), while the number of cycles resulting in term and live birth was 16 (41%). In the incidents in the control group, the clinical pregnancy rate (CPR) was determined at 25 of 35 cycles (%71.4) while the live birth rate (CDO) was provided at 22 cycles (%62.8). When compared to the vaginism group, the rates of CPR (20 vs 25, p<0,09) and LBR were found similar (16 vs 22, p<0,06). The result: both clinical pregnancy and CDOs of severe vaginism infertile women with IVF-ET are similar to those of women with unexplicable infertility.

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