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Clinical Trial Summary

Hypothesis: the combined use of progesterone administration for luteal phase support is superior to the single route of progesterone administration in terms of pregnancy outcome parameters in women undergoing fresh IVF/ICSI cycles.


Clinical Trial Description

In ART (IVF/ICSI), most of the studies have shown a deficiency of progesterone during the luteal phase, especially due to the use of GnRH analogs. The lack of progesterone leads to abnormal endometrial development and consequently to desynchronization between the latter and the blastocyst implantation. Therefore, it is a standard of care to use progesterone for luteal phase support after embryo transfer and during the first trimester, in case of pregnancy. According to ESHRE guidelines, either of vaginal, oral, subcutaneous or intramuscular route is advisable. But, until now, there is no robust evidence on the effect on pregnancy outcome of the combined route of progesterone administration compared to the standard of care (single route). The aim of this study is to compare the effectiveness of the combined route of progesterone administration to the single route. The study is a prospective cohort study. Participants will receive either standard treatment with single route (vaginal) progesterone administration according to the ESHRE guidelines, or combination of more than one routes of administration, that is vaginal plus oral or subcutaneous progesterone, starting afterthe fresh embryo transfer until 12 weeks of gestation or a negative pregnancy test. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05089383
Study type Observational
Source University of Athens
Contact Vasiliki Dourou
Phone +306977706799
Email vdourou@gmail.com
Status Recruiting
Phase
Start date September 14, 2021
Completion date December 2023

See also
  Status Clinical Trial Phase
Completed NCT04693624 - Early Luteal Hormones and IVF Outcomes After hCG Triggering
Completed NCT02761772 - Early Pregnancy Cohort and Preimplantation Factor