In a retrospective cohort of 2,108 first-time IVF/ICSI patients , routine chronic endometritis (CE) screening using hysteroscopy and immunohistochemistry showed no significant improvement in clinical pregnancy rates (44.8% vs. 44.7%) or live birth rates (40.4% vs. 38.8%) compared with selective screening. Multivariate analysis confirmed that routine CE screening offers no additional benefit, supporting a selective, evidence-based approach — screen only when suspicious CE findings are observed, and treat with standardized antibiotic therapy if positive.
To read more; Click here What is the most evidence-based approach to CE screening in IVF patients? A) Screen every patient routinely B) Screen only when hysteroscopy shows suspicious CE findings C) Skip screening and treat empirically D) Rely solely on clinical symptoms ##Reference## Lin M, Mao D, Lian W, Hu KL, Zhang H, Li R. The impact…
