Outcome of IVF in DES-exposed daughters : Experience in the 90s

The outcome of in vitro fertilization (IVF) in a group of infertile women with a history of in utero exposure to diethylstilbestrol (DES) was analyzed. Records from an academic IVF program were retrospectively reviewed. Seventeen infertile women with a self-reported history of exposure to DES in ute...

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Veröffentlicht in:Journal of assisted reproduction and genetics 1997-10, Vol.14 (9), p.513-517
Hauptverfasser: PAL, L, SHIFREN, J. L, ISAACSON, K. B, CHANG, Y, MAREAN, M, LEYKIN, L, TOTH, T. L
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container_end_page 517
container_issue 9
container_start_page 513
container_title Journal of assisted reproduction and genetics
container_volume 14
creator PAL, L
SHIFREN, J. L
ISAACSON, K. B
CHANG, Y
MAREAN, M
LEYKIN, L
TOTH, T. L
description The outcome of in vitro fertilization (IVF) in a group of infertile women with a history of in utero exposure to diethylstilbestrol (DES) was analyzed. Records from an academic IVF program were retrospectively reviewed. Seventeen infertile women with a self-reported history of exposure to DES in utero, attending the IVF unit at Massachusetts General Hospital (MGH) for assisted reproductive technology (ART), underwent 27 IVF cycles. Analysis of the outcome of IVF including implantation and ongoing pregnancy rates was performed. The data were compared with results from a group of 20 infertile patients with idiopathic infertility undergoing 27 IVF cycles at MGH during the same period. The patients in the two groups were matched for age, basal day 3 levels of follicle stimulating hormone and serum estradiol, and the number and quality of embryos transferred. The response to controlled ovarian hyperstimulation was comparable in the two groups. Significantly lower implantation and ongoing pregnancy rates following IVF and embryo transfer were seen in the utero DES-exposed group compared to the control patients. Infertile patients with a history of in utero exposure to DES exhibit a significantly impaired implantation rate following IVF, and the outcome of ART remains poor.
doi_str_mv 10.1023/A:1021175326230
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L ; ISAACSON, K. B ; CHANG, Y ; MAREAN, M ; LEYKIN, L ; TOTH, T. L</creator><creatorcontrib>PAL, L ; SHIFREN, J. L ; ISAACSON, K. B ; CHANG, Y ; MAREAN, M ; LEYKIN, L ; TOTH, T. L</creatorcontrib><description>The outcome of in vitro fertilization (IVF) in a group of infertile women with a history of in utero exposure to diethylstilbestrol (DES) was analyzed. Records from an academic IVF program were retrospectively reviewed. Seventeen infertile women with a self-reported history of exposure to DES in utero, attending the IVF unit at Massachusetts General Hospital (MGH) for assisted reproductive technology (ART), underwent 27 IVF cycles. Analysis of the outcome of IVF including implantation and ongoing pregnancy rates was performed. The data were compared with results from a group of 20 infertile patients with idiopathic infertility undergoing 27 IVF cycles at MGH during the same period. The patients in the two groups were matched for age, basal day 3 levels of follicle stimulating hormone and serum estradiol, and the number and quality of embryos transferred. The response to controlled ovarian hyperstimulation was comparable in the two groups. Significantly lower implantation and ongoing pregnancy rates following IVF and embryo transfer were seen in the utero DES-exposed group compared to the control patients. Infertile patients with a history of in utero exposure to DES exhibit a significantly impaired implantation rate following IVF, and the outcome of ART remains poor.</description><identifier>ISSN: 1058-0468</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1023/A:1021175326230</identifier><identifier>PMID: 9401869</identifier><identifier>CODEN: JARGE4</identifier><language>eng</language><publisher>New York, NY: Kluwer/Plenum</publisher><subject>Adult ; Biological and medical sciences ; Birth control ; Diethylstilbestrol - adverse effects ; Diethylstilbestrol - pharmacology ; Embryo Implantation - drug effects ; Estradiol - blood ; Estrogens, Non-Steroidal - adverse effects ; Estrogens, Non-Steroidal - pharmacology ; Female ; Fertilization in Vitro - methods ; Follicle Stimulating Hormone - blood ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Pregnancy ; Pregnancy Rate ; Prenatal Exposure Delayed Effects ; Retrospective Studies ; Sterility. 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L</creatorcontrib><creatorcontrib>ISAACSON, K. B</creatorcontrib><creatorcontrib>CHANG, Y</creatorcontrib><creatorcontrib>MAREAN, M</creatorcontrib><creatorcontrib>LEYKIN, L</creatorcontrib><creatorcontrib>TOTH, T. L</creatorcontrib><title>Outcome of IVF in DES-exposed daughters : Experience in the 90s</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><description>The outcome of in vitro fertilization (IVF) in a group of infertile women with a history of in utero exposure to diethylstilbestrol (DES) was analyzed. Records from an academic IVF program were retrospectively reviewed. Seventeen infertile women with a self-reported history of exposure to DES in utero, attending the IVF unit at Massachusetts General Hospital (MGH) for assisted reproductive technology (ART), underwent 27 IVF cycles. Analysis of the outcome of IVF including implantation and ongoing pregnancy rates was performed. The data were compared with results from a group of 20 infertile patients with idiopathic infertility undergoing 27 IVF cycles at MGH during the same period. The patients in the two groups were matched for age, basal day 3 levels of follicle stimulating hormone and serum estradiol, and the number and quality of embryos transferred. The response to controlled ovarian hyperstimulation was comparable in the two groups. Significantly lower implantation and ongoing pregnancy rates following IVF and embryo transfer were seen in the utero DES-exposed group compared to the control patients. Infertile patients with a history of in utero exposure to DES exhibit a significantly impaired implantation rate following IVF, and the outcome of ART remains poor.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Diethylstilbestrol - adverse effects</subject><subject>Diethylstilbestrol - pharmacology</subject><subject>Embryo Implantation - drug effects</subject><subject>Estradiol - blood</subject><subject>Estrogens, Non-Steroidal - adverse effects</subject><subject>Estrogens, Non-Steroidal - pharmacology</subject><subject>Female</subject><subject>Fertilization in Vitro - methods</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Prenatal Exposure Delayed Effects</subject><subject>Retrospective Studies</subject><subject>Sterility. 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Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Retrospective Studies</topic><topic>Sterility. Assisted procreation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PAL, L</creatorcontrib><creatorcontrib>SHIFREN, J. L</creatorcontrib><creatorcontrib>ISAACSON, K. B</creatorcontrib><creatorcontrib>CHANG, Y</creatorcontrib><creatorcontrib>MAREAN, M</creatorcontrib><creatorcontrib>LEYKIN, L</creatorcontrib><creatorcontrib>TOTH, T. 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L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of IVF in DES-exposed daughters : Experience in the 90s</atitle><jtitle>Journal of assisted reproduction and genetics</jtitle><addtitle>J Assist Reprod Genet</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>14</volume><issue>9</issue><spage>513</spage><epage>517</epage><pages>513-517</pages><issn>1058-0468</issn><eissn>1573-7330</eissn><coden>JARGE4</coden><abstract>The outcome of in vitro fertilization (IVF) in a group of infertile women with a history of in utero exposure to diethylstilbestrol (DES) was analyzed. Records from an academic IVF program were retrospectively reviewed. Seventeen infertile women with a self-reported history of exposure to DES in utero, attending the IVF unit at Massachusetts General Hospital (MGH) for assisted reproductive technology (ART), underwent 27 IVF cycles. 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Infertile patients with a history of in utero exposure to DES exhibit a significantly impaired implantation rate following IVF, and the outcome of ART remains poor.</abstract><cop>New York, NY</cop><pub>Kluwer/Plenum</pub><pmid>9401869</pmid><doi>10.1023/A:1021175326230</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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ispartof Journal of assisted reproduction and genetics, 1997-10, Vol.14 (9), p.513-517
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source MEDLINE; SpringerNature Journals; PubMed Central
subjects Adult
Biological and medical sciences
Birth control
Diethylstilbestrol - adverse effects
Diethylstilbestrol - pharmacology
Embryo Implantation - drug effects
Estradiol - blood
Estrogens, Non-Steroidal - adverse effects
Estrogens, Non-Steroidal - pharmacology
Female
Fertilization in Vitro - methods
Follicle Stimulating Hormone - blood
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Pregnancy
Pregnancy Rate
Prenatal Exposure Delayed Effects
Retrospective Studies
Sterility. Assisted procreation
Treatment Outcome
title Outcome of IVF in DES-exposed daughters : Experience in the 90s
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