Literature DB >> 18645708

Does high serum progesterone level on the day of human chorionic gonadotropin administration affect pregnancy rate after intracytoplasmic sperm injection and embryo transfer?

Foad Azem1, Guy Tal, Joseph B Lessing, Mira Malcov, Dalit Ben-Yosef, Beni Almog, Ami Amit.   

Abstract

OBJECTIVE: The present study was conducted to evaluate the effect of serum progesterone (P) levels on the day of human chorionic gonadotropin (hCG) administration on embryo quality and pregnancy rate in intracytoplasmic sperm injection (ICSI) cycles. DESIGN AND
SETTING: This was a retrospective analysis conducted in the in vitro fertilization (IVF) unit of a tertiary hospital. PATIENTS: Two hundred and one patients who underwent a total of 280 IVF treatment cycles allocated to ICSI during routine IVF/embryo transfer treatment. Results. In cycles with elevated serum P, higher estradiol levels were noted (1915 pg/ml vs. 1256 pg/ml; p<0.05), more oocytes were retrieved and manipulated, and more embryos were available for transfer. Embryo grading was comparable between the two groups. The average age was lower in the group with elevated P; but the pregnancy rate was significantly lower (16.4% vs. 27.6%, p = 0.03).
CONCLUSIONS: Our data demonstrate no deleterious effect of elevated P on embryo quality. However, high serum P adversely affects implantation and pregnancy rates.

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Year:  2008        PMID: 18645708     DOI: 10.1080/09513590802196353

Source DB:  PubMed          Journal:  Gynecol Endocrinol        ISSN: 0951-3590            Impact factor:   2.260


  9 in total

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6.  Top quality blastocyst formation rates in relation to progesterone levels on the day of oocyte maturation in GnRH antagonist IVF/ICSI cycles.

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7.  Pre-Ovulatory Hormones on Day of Human Chorionic Gonadotropin Trigger and Assisted Reproductive Technique Outcomes in Different Ovarian Response Groups.

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8.  Late follicular progesterone to estradiol ratio is not influenced by protocols or gonadotropins used.

Authors:  E Shalom-Paz; N Aslih; N Samara; M Michaeli; A Ellenbogen
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