In vitro fertilisation (IVF) and intracytoplasmic sperm injection (IVF-ICSI) Pregnancy and Childbirth In vitro fertilisation (IVF) and intracytoplasmic sperm injection (IVF-ICSI)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female 2. Indication for an IVF or IVF-ICSI procedure 3. Aged 20-44 years 4. Willing to provide a urine sample and a vaginal swab 5. Willing to provide informed consent 6. Male partner
Exclusion criteria
Exclusion criteria: 1. No transferable embryos after IVF or IVF-ICSI 2. Indication for emergency IVF because of cancer or other reasons 3. AFS (American Fertility Society) III/IV classified endometriosis and pre-treatment with a GnRH (gonadotropin-releasing hormone) analogue 4. >3 weeks use of hormonal contraceptives 3 months prior to start IVF or IVF-ICSI 5. Pregnant previously to the start of the IVF or IVF-ICSI (including miscarriage) 6. Hormonal treatments 3 months prior to start IVF or IVF-ICSI 7. Use of sperm donation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the specificity and sensitivity of the urinary and vaginal microbiome composition for the prediction of embryo implantation failure of a consecutive IVF or IVF-ICSI procedure. 1. The composition of the urinary and vaginal samples, assessed by Next Generation Sequencing and the IS-pro technique within the 2 months prior to the embryo transfer 2. Ongoing pregnancy (defined as an intrauterine embryo/foetus with detection of cardiac activity on transvaginal ultrasound between 7-9 weeks of gestation after fresh embryo transfer) 3. Sensitivity - the proportion of women who become pregnant who test mid or high chance to become pregnant based on microbiome analysis using urinary and vaginal samples (true positive (TP) / (TP + false negative (FN))) 4. Specificity - the proportion of women who do not become pregnant who test low chance to become pregnant based on microbiome analysis using urinary and vaginal samples (true negative (TN) / (TN + false positive (FP))) | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
Netherlands