Backgrounds:While there’s developing proof aimed toward improving embryo implantation thru a focal point on great development, restrained studies have been performed on enhancing endometrial receptivity. Intrauterine Laser Therapy (LT) can be powerful in selling endometrial cell proliferation, therefore enhancing the achievement of assisted reproductive techniques (ART). The contemporary look at aimed to research the effectiveness of effective intrauterine lasers in growing endometrial thickness and the achievement of being pregnant rate. MaterialsandMethods: In the current clinical randomized trial (RTC) study, the infertile women (20 - 42 years old) referred to the infertility clinic in 2023-2024 who were candidates for IVF treatment with recurrent implantation failure (RIF) history were included. The patients were divided into two main groups: the intervention group; low level laser therapy (LLLT) after hormone administration) (n = 52) and the control group (hormone administration without LT) (n = 52). The IVF success rate and change in endometrial thickness before and after the LT were compared in groups. Results: There was a significant difference between groups (p < 0.05) regarded to clinical pregnancy rate. Although the endometrial thickness was enhanced in each group after intervention (hormone/laser) (p < 0.05), the change in endometrial thickness was not significant between groups. Likewise, in negative or positive clinical pregnancy, the endometrial thickness was enhanced in groups (p < 0.05). However, there was no significant difference between groups. Conclusion: It appears that the incorporation of Intrauterine LT in the realm of infertility could significantly impact as a novel supplementary treatment in improving endometrial receptivity and pregnancy rate.
References
[1]
Borght, M.V. and Wyns, C. (2018) Fertility and Infertility: Definition and Epidemiology. ClinicalBiochemistry, 62, 2-10. https://doi.org/10.1016/j.clinbiochem.2018.03.012
[2]
Jain, M. and Singh, M. (2022) Assisted Reproductive Technology (ART) Techniques. StatPearls.
[3]
Ma, J., Gao, W. and Li, D. (2023) Recurrent Implantation Failure: A Comprehensive Summary from Etiology to Treatment. FrontiersinEndocrinology, 13, Article 1061766. https://doi.org/10.3389/fendo.2022.1061766
[4]
Bajpai, K., Acharya, N., Prasad, R. and Wanjari, M.B. (2023) Endometrial Receptivity during the Preimplantation Period: A Narrative Review. Cureus, 15, e37753. https://doi.org/10.7759/cureus.37753
[5]
Altyar, A.E., Boshra, M.S., Abou Warda, A.E., Shawkey, S.M., Mohamed Salem, S.A., Sarhan, R.M. and Sarhan, N. (2023) Comparative Evaluation of Sildenafil Citrate and Estrogen as an Adjuvant Therapy for Treatment of Unexplained Infertility in Women. JournalofPersonalizedMedicine, 13, Article 842. https://doi.org/10.3390/jpm13050842
[6]
AlGhamdi, K.M., Kumar, A. and Moussa, N.A. (2012) Low-Level Laser Therapy: A Useful Technique for Enhancing the Proliferation of Various Cultured Cells. LasersinMedicalScience, 27, 237-249. https://doi.org/10.1007/s10103-011-0885-2
[7]
Enwemeka, C.S., Parker, J.C., Dowdy, D.S., Harkness, E.E., Harkness, L.E. and Woodruff, L.D. (2004) The Efficacy of Low-Power Lasers in Tissue Repair and Pain Control: A Meta-Analysis Study. PhotomedicineandLaserTherapy, 22, 323-329. https://doi.org/10.1089/pho.2004.22.323
[8]
Lin, J., Ma, H., Li, H., Han, J., Guo, T., Qin, Z., Jia, L. and Zhang, Y. (2022) The Treatment of Complementary and Alternative Medicine on Female Infertility Caused by Endometrial Factors. Evidence-BasedComplementaryandAlternativeMedicine, 2022, Article ID: 4624311. https://doi.org/10.1155/2022/4624311
[9]
Ohshiro, T. (2012) Personal Overview of the Application of LLLT in Severely Infertile Japanese Females. LaserTherapy, 21, 97-103. https://doi.org/10.5978/islsm.12-OR-05
[10]
Ohmaru, Y., Ohmaru, K., Ohyama, M., Kiyokawa, K. and Nagata, Y. (2014) Study of Low-Reactive Level Laser Therapy for Severe Female Infertility. TheJournalofJapanSocietyforLaserSurgeryandMedicine, 34, 367-371. https://doi.org/10.2530/jslsm.34.367
[11]
Grinsted, A. and Hillegass, M.G. (2019) PhotoBioModulation for Infertility. ECGynaecology, 8, 875-879.
[12]
Ohshiro, T. (2012) The Proximal Priority Theory: An Updated Technique in Low Level Laser Therapy with an 830 nm GAAlAs Laser. Lasertherapy, 21, 275-285. https://doi.org/10.5978/islsm.12-OR-16
[13]
ElShamy, F.F., El-Kholy, S. and El-Rahman, M.A. (2018) Effectiveness of Laser Acupoints on Women with Polycystic Ovarian Syndrome: A Randomized Controlled Trial. JournalofLasersinMedicalSciences, 9, 113-120. https://doi.org/10.15171/jlms.2018.22
[14]
Naseri, P., Rasta, S.H. and Alihemati, A. (2022) A Comparison between the Effect of Low-Level Laser Therapy and Clomiphene on Rats’ Ovarian Tissue Blood Vessels under inVivo Conditions. JournalofIranianMedicalCouncil, 5, 318-327.
[15]
Ghannadi, A., Kazerooni, M., Jamalzadeh, F., Amiri, S., Rostami, P. and Absalan, F. (2011) The Effects of Laser Assisted Hatching on Pregnancy Rates. IranianJournalofReproductiveMedicine, 9, Article 95.
[16]
Tsai, H.-W., Wang, P.-H., Hsu, P.-T., Chen, S.-N., Lin, L.-T., Li, C.-J. and Tsui, K.-H. (2020) Laser Irradiation Pretreatment Improves Endometrial Preparation of Frozen-Thawed Embryo Transfer in Recurrent Implantation Failure Patients. GynecologicalEndocrinology, 36, 734-738. https://doi.org/10.1080/09513590.2020.1712694
[17]
Valojerdi, M.R., Eftekhari-Yazdi, P., Karimian, L. and Ashtiani, S.K. (2008) Effect of Laser Zona Pellucida Opening on Clinical Outcome of Assisted Reproduction Technology in Patients with Advanced Female Age, Recurrent Implantation Failure, or Frozen-Thawed Embryos. FertilityandSterility, 90, 84-91. https://doi.org/10.1016/j.fertnstert.2007.06.005
[18]
Debrock, S., Spiessens, C., Peeraer, K., De Loecker, P., Willemen, D. and D’hooghe, T.M. (2009) Higher Implantation Rate Using Modified Quarter Laser-Assisted Zona Thinning in Repeated Implantation Failure. GynecologicandObstetricInvestigation, 67, 127-133. https://doi.org/10.1159/000171068
[19]
El Faham, D.A., Elnoury, M.A.H., Morsy, M.I., El Shaer, M.A., Nour Eldin, G.M. and Azmy, O.M. (2018) Has the Time Come to Include Low-Level Laser Photobiomodulation as an Adjuvant Therapy in the Treatment of Impaired Endometrial Receptivity? LasersinMedicalScience, 33, 1105-1114. https://doi.org/10.1007/s10103-018-2476-y