FET, Frozen-thawed Embryo Transfe, hCG, Human Chorionic Gonadotrophin
Conditions
Brief summary
Successful embryo implantation is complicated process that requires synchrony between good-quality embryos and receptive endometrium. Human chorionic gonadotropin (hCG), is one of the initial embryonic signals and the major embryoendometrial relationship regulator. This study will be conducted to to investigate the role of parenteral hCG used for the transfer of cryopreserved- thawed embryos with HRT cycles in the outcome of artificially prepared frozen embryo transfer (FET) cycles.
Interventions
From the 12th to 13th day of the cycle when endometrium reached the optimal thickness ≥8 mm, group 1 (hCG) will receive 10.000 IU hCG intramuscular injection in the morning then vaginal suppository progesterone 400 mg twice a day will be started in the afternoon
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient age ≤ 38 years. * Normal 3D transvaginal ultrasound. * At least two good quality embryos cryopreserved by vitrification. * No GnRH agonists administration before FET cycle.
Exclusion criteria
* Endometriosis. * Uterine anomalies. * Evidence of hydrosalpinx by hystrosalpingography or ultrasound. * Evidence of immune disease, hematological or hormonal disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Live birth delivery rate (LBR) | 7 months | Number of live births beyond 28 weeks of gestational age to the total number of FET cycles |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical pregnancy rate | 2 weeks after positive pregnancy test | number of cases with observed gestational sac with embryonic heartbeat detected by ultrasound two weeks after positive pregnancy to the totoal number of frozen embryo transfer cycles. |
| Implantation rate | 2 weeks after positive pregnancy test | proportion of the number of gestational sacs to the number of embryos transferred |
| Miscarriage rate | 20 weeks gestational age | number of lost before the 20th week of gestation to the number of clinical pregnancies |
Countries
Egypt