Abstract:Purpose
To evaluate the relationship between progesterone and oocyte maturity rate via estradiol to progesterone ratio (E/P) at the time of ovulatory trigger.
Methods
This is a retrospective cohort study of first autologous IVF cycles from January to December 2018 from a private practice fertility center. Serum estradiol and progesterone levels were measured on the day of ovulatory trigger. E/P was calculated to control for degree of response. Embryos were… Show more
“…As a retrospective study by Berger et al (23) included 234 patients who later underwent frozen embryo transfers discovered that late follicular progesterone level not affects oocyte maturity.…”
Background: The endometrial morphology and receptivity, the embryo implantation procedure and the success rate of In vitro fertilization (IVF) are all significantly influenced by progesterone. The increased progesterone adversely affected the endometrial environment of fresh cycles, reducing the chance of pregnancy. However, the embryo quality is equally as crucial to the embryo-endometrial cross-dialog as endometrial receptivity, based on the rate of pregnancy in frozen cycles. Objective: The aim of the current study was to determine how Day of human chorionic gonadotropin (HCG) was impacted by early progesterone rise. Patients and methods: A retrospective cohort research was conducted in the Obstetrics and Gynaecology Department of the Zagazig University Hospital. The study included records of all cases fulfilling the next inclusion criteria: Women with any type of subfertility who underwent frozen embryo transfer, Age less than 40 years old, gonadotropin-releasing hormone (GnRH) antagonist stimulation protocol in fresh Intracytoplasmic Sperm Injection (ICSI) cycle, Basal serum follicle stimulating hormone (FSH) concentration less than 15 mIU/mL. Over 5 years, 200 records were included as a comprehensive sample undergoing ICSI and subsequent frozen embryo. Results: Using a threshold value for serum progesterone previously described of 1.5 ng/ml, 142 from 200 (71%) frozen embryo transfers that involved the transfer of embryos from low progesterone level ICSI cycles, and 58 from 200 (29%) frozen embryo transfers in which embryos from elevated progesterone level. The evolution of pregnancy outcomes following ICSI cycles demonstrated that there was no discernible difference between the groups with higher blood levels. Conclusion: Elevated progesterone levels on the day of HCG do not negatively affect pregnancy outcomes in frozen cycles triggering.
“…As a retrospective study by Berger et al (23) included 234 patients who later underwent frozen embryo transfers discovered that late follicular progesterone level not affects oocyte maturity.…”
Background: The endometrial morphology and receptivity, the embryo implantation procedure and the success rate of In vitro fertilization (IVF) are all significantly influenced by progesterone. The increased progesterone adversely affected the endometrial environment of fresh cycles, reducing the chance of pregnancy. However, the embryo quality is equally as crucial to the embryo-endometrial cross-dialog as endometrial receptivity, based on the rate of pregnancy in frozen cycles. Objective: The aim of the current study was to determine how Day of human chorionic gonadotropin (HCG) was impacted by early progesterone rise. Patients and methods: A retrospective cohort research was conducted in the Obstetrics and Gynaecology Department of the Zagazig University Hospital. The study included records of all cases fulfilling the next inclusion criteria: Women with any type of subfertility who underwent frozen embryo transfer, Age less than 40 years old, gonadotropin-releasing hormone (GnRH) antagonist stimulation protocol in fresh Intracytoplasmic Sperm Injection (ICSI) cycle, Basal serum follicle stimulating hormone (FSH) concentration less than 15 mIU/mL. Over 5 years, 200 records were included as a comprehensive sample undergoing ICSI and subsequent frozen embryo. Results: Using a threshold value for serum progesterone previously described of 1.5 ng/ml, 142 from 200 (71%) frozen embryo transfers that involved the transfer of embryos from low progesterone level ICSI cycles, and 58 from 200 (29%) frozen embryo transfers in which embryos from elevated progesterone level. The evolution of pregnancy outcomes following ICSI cycles demonstrated that there was no discernible difference between the groups with higher blood levels. Conclusion: Elevated progesterone levels on the day of HCG do not negatively affect pregnancy outcomes in frozen cycles triggering.
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