講演情報
[OE8-1]高年女性の不妊治療成績はERA検査では改善できないかもしれない
○藤島 理沙1, 船曳 美也子2, 中村 嘉孝2, 田口 早桐2 (1.近畿大学 医学部 産科婦人科学教室, 2.医療法人オーク会 オーク住吉産婦人科)
We report a case of a 39-year-old woman with recurrent implantation failure (RIF) by using endometrial receptivity analysis (ERA) test. According to a recent randomized controlled trial (RCT) study, the ERA test is expected as a helpful tool for the treatment of infertile patients with RIF. However, even in the recent RCT study, the efficacy for the ERA test for older patients (more than 38 years old) is still unclear, as the inclusion criterion for the patients in the RCT study was age 37 years or younger. In our research, the patient was 39 years old at the time of the first visit to our clinic. Therefore, the clinical utility of the ERA test may depend on the patient's age. In order to confirm the hypothesis, RCT study for older patients should be conducted. In conclusion, our research showed the limitation of ERA test in older patients with RIF. This will be a good step in the management of such patients.