Infertility, Female Clinical Trial
Official title:
Effects of Clomiphene Citrate Ovulation Induction on Frozen Embryo Transfer
Clomiphene citrate has been widely used for treatment of infertility for decades. Although
its anti-estrogenic effects leads to low pregnancy rate, clomiphene citrate is still a
first-line treatment for ovulation induction because of its simple usage, low prices, no
injection and low risk of ovarian hyperstimulation syndrome. Clomiphene citrate shows high
affinity with estrogen receptor, which inhibits endometrial proliferation, inevitably leads
to a decline in endometrial receptivity, thus affecting the success rate of IVF.
In that case, use clomiphene citrate for ovulation induction is lost more than gained based
on fresh embryo transfer. But recently, some researchers have proposed to extend the time
from ovulation induction to embryo transfer, and the increased level of estradiol can replace
clomiphene citrate to combine with the receptor, so that the uterine environment is more
conducive to pregnancy. Therefore, use clomiphene citrate based on vitrification of embryo
maybe a good way for treatment of infertility.
At present, using frozen embryo transplantation after ovulation induction by clomiphene
citrate is a common treatment, but few research has mentioned the best time for embryo
implantation. The investigators research is to find the most appropriate time for frozen
embryo implantation after using clomiphene citrate for ovulation induction.
Status | Recruiting |
Enrollment | 360 |
Est. completion date | June 30, 2018 |
Est. primary completion date | June 30, 2018 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 40 Years |
Eligibility |
Inclusion Criteria: Women 18-40 years of age who are scheduled for IVF or ICSI in our IVF institute while meeting the following criteria: 1. AMH = 2; 2. Infertility factors: tubal factor, severe oligospermia, etc; 3. FET cycle; 4. Cleavage stage embryo transfer (Day 3). Exclusion Criteria: 1. BMI = 18.4 or = 25.0; 2. Have pregnancy complications; 3. Genital tract malformations, uterine cavity diseases, PCOS; 4. Endometriosis; 5. Genetic diseases, severe somatic diseases, mental disorder. |
Country | Name | City | State |
---|---|---|---|
China | Shanghai Jiai Genetics & IVF Institute | Shanghai |
Lead Sponsor | Collaborator |
---|---|
ShangHai Ji Ai Genetics & IVF Institute |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Regression analysis 1 | Regression analysis about the pregnancy outcomes and patients' serum E2,P4,LH levels on the day of hCG injection | 12 weeks after embryo transfer for the patient | |
Other | Regression analysis 2 | Regression analysis about the pregnancy outcomes and patients' serum E2,P4,LH levels on the day of embryo transfer | 12 weeks after embryo transfer for the patient | |
Primary | Clinical pregnancy | Clinical pregnancy is defined as the presence of a gestational sac confirmed by transvaginal ultrasound examination. Clinical pregnancy rate per treatment cycle will also be calculated based on ITT. |
4 weeks after embryo transfer for the patient | |
Secondary | Ongoing pregnancy | Ongoing pregnancy is defined as a viable intrauterine pregnancy after 12 weeks of embryo transfer. Ongoing pregnancy rate per treatment cycle will also be calculated on intend-to-treat(ITT) basis. | 12 weeks after embryo transfer for the patient | |
Secondary | Implantation of transferred embryo | Implantation rate per embryo transferred will also be calculated. | 2 weeks after embryo transfer for the patient |
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