Women Infertility Clinical Trial
Official title:
Granulocyte Stimulating Factor (G-CSF) to Increase the Rate of Implantation Success in IVF Patients in Preferable Preceptive Endometrium Scroe
This is a controlled preminary trial intended to increase the implantation rate of IVF cycles, by using more than one known procedure, endometrial scratching, evaluating the status of the adhesive factors as αVβ3 integrin, L-selectin ligand MECA-79, E-cadherin and ICAM-1, as a determinant for intervention by G-CSF, according to a score that can be done on a small sample obtained during scratching, then give G-CSF for the scores less than 4 intrauterine and subcutaneously.
Placebo: CONTROL patients treated with PLACEBO (saline solution) from the day of embryo
transfer through the day of beta hCG test Drug& scratching CONTROL saline infusion every day
from the day of embryo transfer through the day of beta HCG test Other Name: SALINE INFUSION
Experimental: G-CSF group patients treated with G-CSF if the biopsy adhesive score 1-3 only
1. Endometrial scratching and adhesive factor score, day 21-24 cycle prior to IVF//0rv day
3 of IVF cycle not planned before.
2. Drug &scratching : G-CSF group
1- 300 µg trans cervical intrauterine of G-CSF was administered at the oocyte retrieval day,
2- subcutaneous 300 micrograms G-CSF on the day of embryo transfer Comparative group
patients not treated with G-CSF after scratching if the biopsy adhesive score 4 only
Scratching only :
Patients undergoing scratching on day 21-24 of prior IVF cycle/ and on day 5 of IVF cycle
with biopsy score of 4.
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