Document Detail


Luteal phase hormonal profile in prediction of pregnancy outcome after assisted reproduction.
MedLine Citation:
PMID:  11311769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical efficacy of luteal phase hormones including estradiol and progesterone in the prediction of pregnancy and its outcome in ICSI-ET cycles was evaluated. In 121 ICSI-ET cycles, serial estradiol and progesterone levels were measured in the luteal phase. The day of ovum pick-up was designated as day 0. All the patients had luteal support with vaginal progesterone suppositories after embryo transfer (ET). Serial estradiol measurements were performed on days 8, 11 and 13 and progesterone level on day 11. A single dose of hCG was given for corpus luteum rescue 5000 IU, if day 8 estradiol level <200pg/ml; 2000IU, if estradiol between 200 and 800pg/ml; no hCG if estradiol level >800pg/ml). On day 15, beta-hCG level was measured to detect pregnancy and if positive, injected on day 17. Fifty-seven pregnancies were achieved in 121 cases after ET (47%). Clinical pregnancy rate and ongoing pregnancy rate per ET were 37.1 and 30%, respectively. While there was no difference between progesterone levels measured on day 11, estradiol levels on days 11 and 13 were significantly higher in women who became pregnant. In 40 patients taking only progesterone and in 81 cases taking hCG plus progesterone, estradiol levels on days 11 and 13 were significantly higher in women who became pregnant. Progesterone levels on day 11, in progesterone treated groups, did not differ between pregnant and non-pregnant patients. Estradiol and progesterone levels on day 11 and estradiol levels on day 13 showed a big overlap between pregnant and non-pregnant patients. The efficacy of serial testing was evaluated. An increase in estradiol level from day 11 to 13 was associated with 71% pregnancy rate (72% ongoing). In the case of a decrease in estradiol level, the pregnancy rate was 18% of which 80% had to implant. Rising estradiol in the late luteal phase is associated with higher pregnancy rate and more successful pregnancy outcome.
Authors:
K Vicdan; A Zeki Isik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  96     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-04-20     Completed Date:  2001-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  98-101     Citation Subset:  IM    
Affiliation:
Assisted Reproductive Technologies Center, Bayindir Hospital, Menevis Sokak 30/6, 06540 A. Ayranci, Ankara, Turkey. kvicdan@surf.net.tr
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MeSH Terms
Descriptor/Qualifier:
Chorionic Gonadotropin / therapeutic use
Corpus Luteum / physiology
Embryo Implantation
Estradiol / blood
Female
Fertilization in Vitro*
Hormones / blood*
Humans
Luteal Phase / physiology*
Predictive Value of Tests
Pregnancy
Pregnancy Outcome
Progesterone / blood,  pharmacology
Prospective Studies
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 0/Hormones; 50-28-2/Estradiol; 57-83-0/Progesterone

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