Comparison of natural and artificial cycles in frozen-thawed embryo transfer: A retrospective analysis of 1696 cycles.

Objective: This study aimed to compare the pregnancy outcomes of natural cycles (NC) and artificial cycles (AC) in patients undergoing endometrial preparation for frozen-thawed embryo transfer (FET). Materials and Methods: This retrospective cohort study was conducted in a private infertility clinic between September 2016 and January 2021 and reviewed 1696 FET cycles. Among these FET cycles, endometrial preparation protocols that are performed as the NC (group 1) and AC (group 2) were analyzed. Outcome measures were live birth rates (LBR), clinical pregnancy rates (CPR), implantation rates (IR), and miscarriage rates (MR). Results: The mean serum estradiol level before progesterone supplementation was significantly higher in group 2, whereas endometrial thickness before progesterone supplementation was higher in group 1 (p<0.05). The mean number of transferred embryos and embryo quality score rates regarding cleavage and blastocyst stages were similar in both groups. The IR and MR were similar between groups (p>0.05). Additionally, CPR and LBR were similar in groups 1 (39.2% and 32.8%) and 2 (37.3% and 28.5%) (p=0.517, p=0.134, respectively). Multivariate logistic regression analyses revealed that female age at embryo freezing time and the number of transferred embryos were predictable variables of live birth [odds ratio (OR): 0.970, confidence interval (CI): 0.948-0.991, p<0.05, and OR: 1.359, CI: 1.038-1.780, p<0.05, respectively]. Conclusion: Suitable endometrial preparation is essential to obtain successful pregnancy rates; however, no superiority was determined in NC or AC protocols in frozen-thawed cycles. One of these protocols may be performed depending on menstrual regularity and clinical experience.

Subsequent IVF outcomes following antibiotic therapy for chronic endometritis in patients with recurrent implantation failure.

AIM: The aim is to identify the chronic endometritis (CE) incidence in recurrent implantation failure (RIF) patients undergoing in vitro fertilization (IVF) treatment and compare the IVF outcomes of RIF patients with CE following antibiotic therapy with RIF patients without CE. Another purpose is to compare the IVF outcomes of described RIF patients with patients undergoing the first cycle of IVF. METHODS: In this retrospective cohort study, CE was diagnosed with CD-138 immunohistochemical staining. Among RIF patients, two groups were formed as group 1, including patients diagnosed with CE and treated by antibiotics (n = 129), and group 2, including patients without CE (n = 103). Patients with the first IVF cycle having similar infertility etiologies with RIF patients were reviewed as group 3 (n = 932). RESULTS: CE was diagnosed in 55.6% of RIF patients. The number of oocytes retrieved was not different between groups. Implantation rates (IR) were similar after antibiotic treatment in RIF patients with or without CE. However, Group 3 had a higher IR (41.1%) than group 1 and 2 (23.1% and 30.1%, respectively) (p < 0.001). Clinical pregnancy (CPR) and live birth rates (LBR) were comparable between RIF groups. However, CPR and LBR were significantly higher in group 3 (48.6% and 40.5%) than group 1 (36.4% and 27.9%), and group 2 (37.9% and 30.1%) (p = 0.007 and p = 0.005, respectively). CONCLUSION: Unidentified endometrial factors except CE may also affect the implantation process, although CE is a frequent finding in patients with RIF. Reproductive outcomes may not be improved only with antibiotics in RIF patients with CE.

An attractive agro-industrial by-product in environmental cleanup: dye biosorption potential of untreated olive pomace.

This research deals with the evaluation of highly available and cost effective waste biomass of olive pomace for the removal of reactive textile dye, RR198 from aqueous medium and a real effluent. The experiments were conducted to assess the effects of process variables such as initial pH, biosorbent dosage, contact time, temperature and ionic strength. The results showed that the highest dye biosorption capacity was found at pH 2 and the needed time to reach the biosorption equilibrium was 40 min with a biosorbent concentration of 3.0 g L(-1). The sorption kinetics of dye was best described by the pseudo-second-order kinetic model. The equilibrium biosorption data were analyzed by Langmuir, Freundlich and Dubinin-Radushkevich isotherm models and the results from the isotherm studies showed that the RR198 biosorption process occurred on a homogenous surface of the biosorbent. The waste biomass of olive oil industry displayed biosorption capacities ranging from 6.05 x 10(-5) to 1.08 x 10(-4)mol g(-1) at different temperatures. The negative values of Delta G degrees and the positive value of Delta H degrees suggest that the biosorption process for RR198 was spontaneous and endothermic. Dye-biosorbent interactions were examined by FTIR and SEM analysis. Finally, high biosorption yield of olive waste for the removal of RR198 dye from real wastewater makes it possible that the olive pomace could be applied widely in wastewater treatment as biosorbent taking into account that no pretreatment on the solid residue is carried out.