A cohort study involving 200 women candidate for IVF / ICSI cycles . The participants will be
assessed through full history-taking with special consideration to age and the duration,
type, and cause of infertility. The medical examination included general, abdominal, and
vaginal examinations. Finally, an ultrasonography examination was performed to check for the
presence of three or more preantral follicles and to exclude ovarian cysts.
On day 3 of a natural cycle, a baseline levels of FSH, luteinizing hormone (LH),
, estradiol and anti-Müllerian hormone (AMH).Ovarian stimulation was performed using a long,
antagonist, or short protocol. They were assigned to one of the 2 groups according to having
an intramural myoma not indenting the cavity or not. All will be followed up by transvaginal
ultrasonography . When two or more follicles had reached a mean diameter of 18 mm, oocyte
maturation was triggered by intramuscular administration of hCG. Embryo transfer will be done
at day 2, 3 or 5 according to the circumstances.