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Published in: Trials 1/2022

Open Access 01-12-2022 | Progesterone | Study protocol

Does serum progesterone level impact the ongoing pregnancy rate in frozen embryo transfer under artificial preparation with vaginal progesterone? Study protocol for a randomized controlled trial

Authors: Lin Haiyan, Yang Gang, Li Yu, Li Lin, Chen Xiaoli, Zhang Qingxue

Published in: Trials | Issue 1/2022

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Abstract

Background

In previous retrospective studies, low serum progesterone level on the embryo transfer day is associated with lower clinical pregnancy and ongoing pregnancy rates. Whether adding progesterone in low serum progesterone patients can rescue the outcome, there is no sufficient evidence from randomized controlled studies.

Methods

This trial is a clinical randomized controlled study (high serum progesterone vs low serum progesterone 1:1, 1:1 randomization ratio of intervention vs the control group with low serum progesterone). The eligible hormone replacement therapy—frozen embryo transfer (HRT-FET) cycles, will be recruited and randomly assigned to two parallel groups when serum progesterone is < 7.24μg/l on the day of embryo transfer for D3. The intervention group will be extrally given intramuscular progesterone 40 mg per day from D3 to 8 weeks of gestation if clinical pregnancy. The primary outcome is the ongoing pregnancy (beyond 12 weeks of gestation) rate.

Discussion

The findings of this study will provide strong evidence for whether the progesterone addition from the D3 in low serum progesterone patients can improve the outcome in the HRT-FET cycle.

Trial registration

ClinicalTrials.​govNCT04248309. Registered on January 28, 2020
Literature
5.
go back to reference Klement AH, Bentov Y, Samara N, Chang P, Weintraub A, Nayot D, et al. Intramuscular versus vaginal progesterone administration in medicated frozen embryo transfer cycles: a randomized clinical trial assessing sub-endometrial contractions. Gynecol Obstet Invest. 2018;83(1):40–4.CrossRef Klement AH, Bentov Y, Samara N, Chang P, Weintraub A, Nayot D, et al. Intramuscular versus vaginal progesterone administration in medicated frozen embryo transfer cycles: a randomized clinical trial assessing sub-endometrial contractions. Gynecol Obstet Invest. 2018;83(1):40–4.CrossRef
7.
go back to reference González-Foruria I, Gaggiotti-Marre S, Álvarez M, Martínez F, García S, Rodríguez I, et al. Serum progesterone levels are associated with live birth rates in frozen-embryo transfer under artificial preparation. Are progesterone levels affected by other determinants? Reprod BioMed Online. 2020;40(6):797–804. https://doi.org/10.1016/j.rbmo.2020.03.001. González-Foruria I, Gaggiotti-Marre S, Álvarez M, Martínez F, García S, Rodríguez I, et al. Serum progesterone levels are associated with live birth rates in frozen-embryo transfer under artificial preparation. Are progesterone levels affected by other determinants? Reprod BioMed Online. 2020;40(6):797–804. https://​doi.​org/​10.​1016/​j.​rbmo.​2020.​03.​001.
9.
go back to reference Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009. Hum Reprod. 2009;24(11):2683–7. https://doi.org/10.1093/humrep/dep343.CrossRefPubMed Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009. Hum Reprod. 2009;24(11):2683–7. https://​doi.​org/​10.​1093/​humrep/​dep343.CrossRefPubMed
10.
go back to reference Afsoon Zarei SA, Sohail P, Parsanezhad ME, Samsami A, Azizi M. Comparison of four protocols for luteal phase support in frozen-thawed Embryo transfer cycles: a randomized clinical trial. Arch Gynecol Obstet. 2017;295(1):239–46.CrossRef Afsoon Zarei SA, Sohail P, Parsanezhad ME, Samsami A, Azizi M. Comparison of four protocols for luteal phase support in frozen-thawed Embryo transfer cycles: a randomized clinical trial. Arch Gynecol Obstet. 2017;295(1):239–46.CrossRef
13.
go back to reference Labarta E, Mariani G, Holtmann N, Celada P, Remohí J, Bosch E. Low serum progesterone on the day ofembryo transfer is associated with a diminished ongoing pregnancy rate in oocyte donation cycles after artificial endometrial preparation: a prospective study. Hum Reprod. 2017;32(12):2437–42. https://doi.org/10.1093/humrep/dex316.CrossRefPubMed Labarta E, Mariani G, Holtmann N, Celada P, Remohí J, Bosch E. Low serum progesterone on the day ofembryo transfer is associated with a diminished ongoing pregnancy rate in oocyte donation cycles after artificial endometrial preparation: a prospective study. Hum Reprod. 2017;32(12):2437–42. https://​doi.​org/​10.​1093/​humrep/​dex316.CrossRefPubMed
14.
go back to reference Ku CW, Allen JC Jr, Lek SM, Chia ML, Tan NS, Tan TC. Serum progesterone distribution in normal pregnancies compared to pregnancies complicated by threatened miscarriage from 5 to 13 weeks gestation: a prospective cohort study. BMC Pregnancy Childbirth. 2018;18(1). https://doi.org/10.1186/s12884-018-2002-z. Ku CW, Allen JC Jr, Lek SM, Chia ML, Tan NS, Tan TC. Serum progesterone distribution in normal pregnancies compared to pregnancies complicated by threatened miscarriage from 5 to 13 weeks gestation: a prospective cohort study. BMC Pregnancy Childbirth. 2018;18(1). https://​doi.​org/​10.​1186/​s12884-018-2002-z.
17.
go back to reference Labarta E, Mariani G, Paolelli S, Rodriguez-Varela C, Vidal C, Giles J, et al. Impact of low serum progesterone levels on the day of embryo transfer on pregnancy outcome: a prospective cohort study in artificial cycles with vaginal progesterone. Hum Reprod. 2020;36(3):683–92. https://doi.org/10.1093/humrep/deaa322.CrossRef Labarta E, Mariani G, Paolelli S, Rodriguez-Varela C, Vidal C, Giles J, et al. Impact of low serum progesterone levels on the day of embryo transfer on pregnancy outcome: a prospective cohort study in artificial cycles with vaginal progesterone. Hum Reprod. 2020;36(3):683–92. https://​doi.​org/​10.​1093/​humrep/​deaa322.CrossRef
Metadata
Title
Does serum progesterone level impact the ongoing pregnancy rate in frozen embryo transfer under artificial preparation with vaginal progesterone? Study protocol for a randomized controlled trial
Authors
Lin Haiyan
Yang Gang
Li Yu
Li Lin
Chen Xiaoli
Zhang Qingxue
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Progesterone
Published in
Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-021-05953-8

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