recurrent implantation failure sterility
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Study group • Women who have not achieved a pregnancy, despite the consecutive transfer of at least 4 normal/ high quality embryos. o Cryo-thawed embryos, which are of normal/ high quality after thawing are also included. o An abortion/ E.U.G. will be regarded as a pregnancy.;Reference group • Women who conceived after the first or second embryo transfer during ICSI treatment for male factor infertility and who have delivered a healthy baby.
Exclusion criteria
Exclusion criteria: Study group • PESA (percutaneous epididymal sperm aspiration) / MESA (microsurgical epididymal sperm aspiration / TESE (testicular sperm extraction) • Difficulty in communicating in Dutch or English • Women older than 37 years;Exclusion criteria for endometrial secretion aspiration: • Excisional procedures to treat cervical intraepithelial neoplasia and no previous uncomplicated ET. • Previous documented difficult embryo transfer ;Reference group • Use of oral anticonceptives/ IUD • Breastfeeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameters are: • Uterine Natural Killer cell count in follicular phase endometrial biopsy (PEPSI) • Uterine Natural Killer cell count in luteal phase endometrial biopsy • The embryo secretion cytokine expression profile • The endometrial secretion cytokine expression profile before embryo transfer. The main study endpoint is: • Recurrent implantation failure | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study parameters are: • Lifestyle factors: physical exercise, smoking, use of caffeine and alcohol, BMI (body mass index). • Blood parameters: anticardiolipin antibodies, lupus anticoagulant, Factor V Leiden mutation, prothrombin gene mutation, deficiencies in protein S, protein C, and antithrombin, TSH (when abnormal FT4 as well), basal FSH. • The pulsatility index of the a. uterina before ET. The secondary study endpoint are: • Number of embryos transferred • Number of embryo transfers | — |
Countries
Netherlands