摘要：Objective: cohort study describing clinical and laboratory outcomes in ICSI patients using self-operated endovaginal
tele-monitoring (SOET).
Setting: University department of reproductive medicine.
Patients: 78 patients undergoing 100 consecutive ICSI attempts.
Interventions: patients’ recorded vaginal sonograms and sent recordings using the cloud based Sonaura device to
the care provider who procured responses, avoiding hospital visits.
Main Outcome Measures: Number of cycles without hospital visit, laboratory and clinical variables, transportation
avoided.
Results: In 100 attempts, only one patient missed her follicles, 9 hospital visits occurred for circumstantial reasons
and 90 attempts were completed without any hospital visit between initiation and puncture. Mean number ±
2SD was for oocytes 11.7±6.6, metaphase-II oocytes 8.5±5.4, 2PN zygotes 5.5±3.7, good day-5 blastocysts 2.4±2.4,
embryos transferred 1.0±0.7 and embryos frozen 1.3±2.2. Percentages of total (+HCG), clinical (cardiac activity)
and on-going pregnancies (>20 weeks) were 40%, 35% and 29% per started cycle and 48.8%, 42.7% and 35.4% per
embryo transfer.
Conclusions: Using SOET, 90% of ICSI (and IVF) patients can avoid visits to care providers for making sonograms.
Results were similar as in patients with a similar profile using traditional monitoring. In appropriate patients, SOET
is an efficient, safe and patient-friendly alternative for ovarian stimulation monitoring in IVF/ICSI programmes.
