Infertility, Female
Conditions
Brief summary
To compare the effects of fresh embryo transfers (ET) and elective frozen-thawed embryo transfer cycles in poor ovarian responders.
Interventions
A policy of freezing all the embryos followed by subsequent thawed frozen embryo transfer
Sponsors
Study design
Masking description
Blinding of the allocated intervention is not possible.
Eligibility
Inclusion criteria
* All patients that fulfill the Bologna criteria \[at least 2 of the following 3 features must be present: (i) advanced maternal age or any other risk factor for POR; (ii) a previous POR; and (iii) an abnormal ovarian reserve test (ORT)\] * if the progesterone serum level was ≤1.5 ng/mL on the trigger day. * body mass index 18-32 kg/m2 * Both partners are able to provide written informed consent. * At least 1 good quality embryo on day 3 after egg collection on day 3 according to the Istanbul consensus (7-8 cells; with symmetric blastomeres and \<10% fragmentation by volume). * Endometrial thickness ≥8 mm on trigger day. * a normal uterine cavity on ultrasound. * IVF/ICSI with only fresh semen
Exclusion criteria
* Pre-implantation genetic testing is being planned. * if they had severe endometriosis, uterine pathology (myomas, adenomyosis, endocrinopathies, adhesions, acquired or congenital abnormalities), untreated tubal hydrosalpinges, ovarian tumor, recurrent spontaneous abortion, implantation failure after ≥ 2 fresh or frozen ET.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Livebirth rate | 32 weeks | The proportion of women in the population who had at least one live baby. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pregnancy rate | 2 weeks | Positive pregnancy test at two weeks +/- three days after embryo transfer |
| Clinical pregnancy rate | 6-8 weeks | The presence of at least one fetal heartbeat at ultrasound between six and eight weeks of gestation |
Countries
Egypt