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ovulation induction with letrozole plus dexamethasone and letrozole alone in infertile women with polycystic ovarian disease in Hamadan

Comparison of ovulation induction with letrozole plus dexamethasone and letrozole alone in infertile women with polycystic ovarian disease in Hamadan

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20230522058253N8
Enrollment
130
Registered
2025-10-15
Start date
2025-11-21
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Women with polycystic ovary syndrome and primary infertility. Polycystic ovarian syndrome

Interventions

Intervention 1: Intervention group: The intervention group will receive letrozole with dexamethasone. In the first group, from the first day of menstruation, letrozole (Iran Hormone Company, Iran) wil
if not, the cycle will be canceled. Intervention 2: Control group: women in the study receive letrozole with a combined gonadotropin (oral-injectable). From the third day of menstruation, letrozole (I

Sponsors

Hamedan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to 39 Years

Inclusion criteria

Inclusion criteria: Women with a diagnosis of polycystic ovary syndrome and primary infertility Normal partner semen analysis ages between 18 and 39 years

Exclusion criteria

Exclusion criteria: Concomitant corticosteroid use ndocrine disorders (such as thyroid disorders, high prolactin due to prolactinoma) history of ovarian surgery

Design outcomes

Primary

MeasureTime frame
Pregnancy outcome success rate in women with polycystic ovary syndrome and a history of infertility using dexamethasone. Timepoint: The patient will be referred for sonography on day 12 after menstruation. The patient will be asked to take steps to conceive. Finally, pregnancy was confirmed based on clinical level measurement by the presence of a gestational sac on sonography at the fourth week. Then, pregnancy and intrauterine insemination success rates in both groups will be compared. Method of measurement: Chemical pregnancy assessment by beta HCG check on days 12-16 after intervention and measurement of clinical pregnancy by the presence of a gestational sac on ultrasound at week 4.;Endometrial thickness in women with polycystic ovary syndrome and a history of infertility using dexamethasone. Timepoint: The patient will be referred for sonography on day 12 after menstruation. If the endometrial size is >7 and the dominant follicle is 17-25, a trigger will be given. The patient will be asked to take steps to conceive. If the endometrial and follicle conditions are not established, letrozole and dexamethasone will be continued for another 3-5 days, and another sonography will be performed. Method of measurement: Endometrial thickness in women with polycystic ovary syndrome and a history of infertility using dexamethasone by sonography.;Dominant follicle number, and pregnancy outcome success rate in women with polycystic ovary syndrome and a history of infertility using dexamethasone. Timepoint: The patient will be referred for sonography on day 12 after menstruation. If the endometrial size is >7 and the dominant follicle is 17-25, a trigger will be given. The patient will be asked to take steps to conceive. If the endometrial and follicle conditions are not established, letrozole and dexamethasone will be continued for another 3-5 days, and another sonography will be performed. Method of measurement: Dominant follicle number in women with polycystic ovary syndrom

Countries

Iran (Islamic Republic of)

Contacts

Public ContactNeda Alimohammadi

Hamedan University of Medical Sciences

nalimohamadi68@yahoo.com+98 81 3838 0808

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026