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Comparison of Thawing Embryos in Advance and on the Day of Transfer on Pregnancy Outcomes in FET Cycle

Comparison of the Effects of Thawing Embryos in Advance and Thawing on the Day of Transfer on Pregnancy Outcomes in the Frozen Embryo Transfer Cycle

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04455191
Enrollment
500
Registered
2020-07-02
Start date
2020-01-01
Completion date
2021-06-30
Last updated
2020-07-07

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

Conditions

Frozen Embryo Transfer, In Vitro Fertilization

Keywords

Frozen embryos, Thawing

Brief summary

Respectively for patients with repeated transplant failure and routine patients, Thawing frozen embryos in advance (18h) to extend the duration of embryonic development or thawing embryos on the day of transfer in the frozen embryo transfer cycle, to analyze which way can improve clinical pregnancy outcomes, is there a significant difference between the two ways or two types of patients?

Detailed description

Although in clinical practice, thawed embryos with appropriate development time will be selected strictly according to the number of days after ovulation, there are still two problems in actual clinical treatment: one is the embryonic factor, although the rate of embryonic development is generally the same, However, the phenomenon of delayed embryo division and development often occurs. The second is the endometrial factor. There are reports that a small number of people will move the transplant window forward, or the transplant window is narrow. This potentially creates the risk of embryo-endometrial mismatch. Based on this, the research team focused on patients with frozen embryo transfer cycles and put forward the strategy of thawing embryos in advance and prolonging the development period of embryos properly in an effort to achieve better repair of damage caused by embryo freezing and fine-tuning of embryo-endometrial interaction time. Therefore, it is necessary to compare thawing embryos in advance and thawing on the day of transfer on pregnancy outcomes in patients with repeated transplant failure and routine patients respectively. The purpose of this study is to analyze which way can improve clinical pregnancy and birth outcomes, is there a significant difference between the two ways or two types of patients?

Interventions

PROCEDUREThawing Embryos in Advance

Thaw Embryos one day in Advance

PROCEDUREThawing Embryos on the Day of Transfer

Thaw Embryos on the morning of transfer day.

Sponsors

Jinan Central Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
FEMALE
Age
25 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

* Aged \<=35 years old; * Regular menstrual cycle; * Baseline follicle stimulating hormone (FSH) \<12 IU/L; * Infertility, pure fallopian tube or/and male factor; * At least 2 high-quality day 3 embryos or 1 high-quality day 5 blastocyst are used for ET.

Exclusion criteria

* Patients with repeated transplant failure: * Abnormal uterus, such as adenomyosis, endometriosis, endometrial polyps or Asherman syndrome; * Abnormal ovaries, such as low ovarian response and polycystic ovary syndrome (PCOS); * The endometrial thickness of FET day is \<7 mm.

Design outcomes

Primary

MeasureTime frameDescription
Clinical Pregnancy Rate (Pregnancy or Not)6 weeksObserve the clinical pregnancy rate under different embryo thawing time
Live Birth Rate (Birth or Not)40 weeksObserve the live birth rate under different embryo thawing time

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026