A novel approach to treating Endometriosis-Related Repeated IVF failures- insights from single case report

This report explores the case of a young, normal-responder nulligravida with peritoneal endometriosis and recurrent implantation failure, with poor embryo quality during multiple failed attempts at IVF treatment. The patient underwent Dienogest (Visabelle®) pretreatment followed by a combination protocol of Stop GnRH-agonist/GnRH-antagonist for controlled ovarian stimulation, culminating in a natural cycle frozen-thawed embryo transfer with modified luteal phase support. This combined approach produced several high-quality embryos leading to a successful singleton pregnancy. These findings provide new insights into addressing endometriosis-associated infertility and repeated IVF failure.

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Publication Details

Journal
Reproductive Biology and Endocrinology
Published
2026-09-24
DOI
https://doi.org/10.1186/s12958-026-01610-4
Primary Topic
Endometriosis Research and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

A novel approach to treating Endometriosis-Related Repeated IVF failures- insights from single case report

Raoul Orvieto
Reproductive Biology and Endocrinology
Endometriosis Research and Treatment
article

A novel approach to treating Endometriosis-Related Repeated IVF failures- insights from single case report

Raoul Orvieto
article en

Abstract

This report explores the case of a young, normal-responder nulligravida with peritoneal endometriosis and recurrent implantation failure, with poor embryo quality during multiple failed attempts at IVF treatment. The patient underwent Dienogest (Visabelle®) pretreatment followed by a combination protocol of Stop GnRH-agonist/GnRH-antagonist for controlled ovarian stimulation, culminating in a natural cycle frozen-thawed embryo transfer with modified luteal phase support. This combined approach produced several high-quality embryos leading to a successful singleton pregnancy. These findings provide new insights into addressing endometriosis-associated infertility and repeated IVF failure.

Reproductive Biology and EndocrinologyVol. 24(1)
Sheba Medical Center (IL)
Good health and well-being
Openalex Percentile: Top 9%
Endometriosis Research and Treatment
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