Intracytoplasmic Sperm Injection, IVF
Conditions
Brief summary
To determine if the use of Buscopan in patients undergoing IVF/ICSI treatment with high uterine contraction frequency prior to embryo transfer has a higher live birth rate.
Interventions
cases will be randomized to Buscopan group or Normal Saline group, injection will be given 5 minutes prior to embryo transfer
Sponsors
Study design
Masking description
double blinded to the randomization list
Intervention model description
A prospective double blinded randomized controlled trial
Eligibility
Inclusion criteria
\- Women undergoing embryo transfer in either fresh or frozen cycles
Exclusion criteria
* Women aged \> 42 years old * Women with factors which will affect uterine contractility * congenital uterine anomaly * acquired uterine pathology such as myoma \>5cm, adenomyosis \>5cm or endometrial polyp * Women with presence of hydrosalpinx * Women undergoing pre-implantation genetic test in IVF cycles * History of allergy to misoprostol , Buscopan® or same group of drug * Contraindication to the use of Buscopan® e.g. glaucoma, myasthenia gravis, tachycardia, megacolon * Women who are on other smooth muscle relaxant other than Buscopan®
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| live birth rate | after 24 weeks of gestation | live baby born |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| implantation rate | 8-10 days after embryo transfer | positive pregnancy test |
| clinical pregnancy rate | at 6 weeks gestation | the presence of at least one gestational sac |
| multiple pregnancy rate | after 24 weeks of gestation | more than 1 live birth |
| miscarriage rate | before 24 weeks of gestation | biochemical if there is no US evidence of pregnancy and clinical if there is US evidence of pregnancy |
| ectopic pregnancy rate | at 6-7 weeks of gestation | IU sac out of uterine cavity |
Countries
Hong Kong