Stop Menstruation and Pregnancy Rates in Antagonist Protocol

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01357473
Recruitment Status : Completed
First Posted : May 20, 2011
Last Update Posted : May 20, 2011
Information provided by:
Universitair Ziekenhuis Brussel

Brief Summary:
The proposal of this study is to evaluate the association between the achievement of ongoing pregnancy and hormonal levels on the first day after the period had stopped in rec-FSH/GnRH- antagonist cycles.

Condition or disease

Detailed Description:

Ovarian stimulation will be achieved by rec- FSH, Puregon® starting on day 2 of the cycle at a dose of 200 IU/day. The dose of rec-FSH remains unchanged during stimulation until day 10 of the cycle. If it is necessary to increase the dose of rec-FSH after 10 days of stimulation, or to decrease the dose of rec-FSH due to a risk of OHSS, the patient will be dropped out of the study.

To inhibit premature LH surge daily GnRH - antagonist (orgalutran 0,25mg ) is used from the morning of day 6 of stimulation.

Final oocyte maturation will be achieved by administration of 10.000 IU of HCG (Pregnyl®) as soon as ≥ 3 follicles ≥ 17 mm are present. E2 levels should not be criteria for HCG administration. Oocyte retrieval will be carried out 36 hours after HCG administration. Conventional IVF or ICSI will be carried out. Embryo transfer will be carried out day3 or day5 after oocyte retrieval.

Similar luteal support for all patients with vaginal administration of 600mg natural micronised progesterone in three separate doses (Utrogestan® 200mg 3xday) starting one day after oocyte retrieval will be used. Hormonal assessment (E2,FSH,LH,Progesterone) will be performed at initiation of stimulation, on the first day after the period had stopped and every 2 days until the day of HCG administration.

Study Type : Observational
Estimated Enrollment : 90 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Is Hormonal Exposure of Endometrium on the First Day After Menstruation Associated With the Probability of Pregnancy in Patients Treated With Rec-FSH/ GnRH Antagonist? A Prospective Trial
Study Start Date : November 2009
Actual Primary Completion Date : February 2010
Actual Study Completion Date : May 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Menstruation

Primary Outcome Measures :
  1. Ongoing pregnancy rate. [ Time Frame: 3 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 37 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Infertility women treated with rec FSH/antagonist protocol

Inclusion Criteria:- Age ≤ 39 years

  • Body mass index between 18 and 29 kg/m²¬
  • Regular cycles between 25-34 days
  • Presence of both ovaries
  • Basal levels of estradiol (≤ 80 pg/ml) and progesterone (≤ 1.6ng/ml) on day one of the cycle
  • Treatment with IVF/ICSI
  • Embryo transfer day 3 or day 5 (1 or 2 embryos)
  • Patients can enter in the study only once

Exclusion Criteria:

  • Presence of endometriosis stage ≥3(AFS)
  • Polycystic ovarian syndrome (Rotterdam criteria)
  • Need for preimplantation genetic diagnosis (PGD)
  • Azoospermia testicular sperm extraction (TESE)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01357473

Sponsors and Collaborators
Universitair Ziekenhuis Brussel
Principal Investigator: DIMITRA KYROU, MD CRG UZ Brussel

Responsible Party: DEVROEY PAUL, CRG UZ BRUSSEL Identifier: NCT01357473     History of Changes
Other Study ID Numbers: 239
First Posted: May 20, 2011    Key Record Dates
Last Update Posted: May 20, 2011
Last Verified: May 2011

Keywords provided by Universitair Ziekenhuis Brussel:
hormonal values

Additional relevant MeSH terms:
Genital Diseases, Male
Genital Diseases, Female