{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:50:53Z","timestamp":1791856253184,"version":"4.3.4"},"reference-count":31,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"<jats:sec id=\"ab-zoi231584-4\"><jats:title>Importance<\/jats:title><jats:p>Although multiple mechanisms have been proposed to explain the infertility related to endometriosis, there are no conclusive data on the association of endometriosis with endometrial receptivity. The oocyte donation model in assisted reproduction technology (ART) cycles can clarify this issue.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-5\"><jats:title>Objective<\/jats:title><jats:p>To explore the association of a history of endometriosis with ART outcomes in recipients of oocyte donation.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-6\"><jats:title>Data Sources<\/jats:title><jats:p>In this systematic review and meta-analysis, electronic databases were searched from inception until August 31, 2023, using combinations of relevant keywords. Moreover, we retrieved data from the databases of the Society for Assisted Reproductive Technology (SART) in the US and the Human Fertilization and Embryology Authority (HFEA) in the United Kingdom.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-7\"><jats:title>Study Selection<\/jats:title><jats:p>Observational studies were included if they investigated the impact of endometriosis on ART outcomes with donor oocytes.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-8\"><jats:title>Data Extraction and Synthesis<\/jats:title><jats:p>Publicly available data related to ART from various sources were gathered, and a retrospective aggregate and nonaggregate analysis using registries of in vitro fertilization cycles with oocyte or embryo donation was conducted.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-9\"><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>The primary outcome was live birth rate (LBR) following oocyte donor cycles. The effect measures of comparisons between groups are presented as odds ratios (ORs) with a 95% CI.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-10\"><jats:title>Results<\/jats:title><jats:p>This study analyzed 7212 oocyte donation cycles from 4 studies for the meta-analysis, along with 162\u202f082 cycles from 2 registries (137\u202f182 from SART and 24\u202f900 from HFEA). No significant differences between the groups were observed in the meta-analysis of published data after adjusting for confounding factors (OR, 0.54; 95% CI, 0.19-1.57). A statistically significant lower LBR was identified in women with endometriosis when analyzing the aggregate data from SART and HFEA databases (OR, 0.89; 95% CI, 0.81-0.97).<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi231584-11\"><jats:title>Conclusions and Relevance<\/jats:title><jats:p>This study found a modest decrease in LBR among women with a history of endometriosis, although only results from the pooled analysis of registry data and not those from the meta-analysis reached statistical significance. These findings suggest that a marginal impairment of uterine receptivity may contribute to infertility mechanisms in women affected by endometriosis.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2023.54249","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T16:33:33Z","timestamp":1706718813000},"page":"e2354249","source":"Crossref","is-referenced-by-count":27,"title":["Live Birth After Oocyte Donation In Vitro Fertilization Cycles in Women With Endometriosis"],"prefix":"10.1001","volume":"7","author":[{"given":"Alessio","family":"Paffoni","sequence":"first","affiliation":[{"name":"Infertility Unit, ASST Lariana, Cant\u00f9 (Como), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u00edra","family":"Casalechi","sequence":"additional","affiliation":[{"name":"Human Reproduction Unit of the Hospital das Cl\u00ednicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"De Ziegler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Human Reproduction, Hospital Foch, Suresnes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ettore","family":"Cicinelli","sequence":"additional","affiliation":[{"name":"First Unit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgardo","family":"Somigliana","sequence":"additional","affiliation":[{"name":"Infertility Unit, Department of Obstetrics and Gynecology, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Vigan\u00f2","sequence":"additional","affiliation":[{"name":"Infertility Unit, Department of Obstetrics and Gynecology, Fondazione 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