Document Detail


Does subtle progesterone rise on the day of HCG affect pregnancy rate in long agonist ICSI cycles?
MedLine Citation:
PMID:  19459040     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the impact of subtle progesterone (P4) rise on the day of HCG on pregnancy outcome in ICSI patients stimulated with long agonist protocol. METHODS: One hundred forty-nine consecutive controlled ovarian hyperstimulation cycles for ICSI using long luteal agonist protocol. RESULTS: Mean serum progesterone on day of hCG was 0.88+/-0.51 ng/mL values > or =1 ng/mL were found in 34.2% of cycles. Serum E2 on day of hCG and number of oocytes retrieved were significantly higher in the group with P4 > or = 1 ng/mL. The area under ROC for serum progesterone in prediction of pregnancy was 0.52, indicating that within the values studied, serum progesterone on day of hCG is not predictive of pregnancy outcome. CONCLUSION: P4 values > or =1 ng/mL on day of hCG are common in long agonist ICSI cycles particularly with high response. Within the P4 values encountered in this study, implantation and pregnancy rates are not adversely affected.
Authors:
Hisham Ali Saleh; Mervat Sheikh El-Arab Omran; Mohamed Draz
Publication Detail:
Type:  Journal Article     Date:  2009-05-21
Journal Detail:
Title:  Journal of assisted reproduction and genetics     Volume:  26     ISSN:  1573-7330     ISO Abbreviation:  J. Assist. Reprod. Genet.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-07-31     Completed Date:  2009-11-16     Revised Date:  2010-09-27    
Medline Journal Info:
Nlm Unique ID:  9206495     Medline TA:  J Assist Reprod Genet     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  239-42     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Alexandria University, Alexandria, Egypt.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chorionic Gonadotropin / blood*
Embryo Transfer
Estradiol / blood
Female
Follicle Stimulating Hormone / blood
Humans
Luteal Phase
Male
Ovarian Follicle / pathology
Ovary / pathology
Pregnancy
Pregnancy Rate
Progesterone / blood*
Sperm Injections, Intracytoplasmic / methods*
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 50-28-2/Estradiol; 57-83-0/Progesterone; 9002-68-0/Follicle Stimulating Hormone
Comments/Corrections

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