Document Detail


Vaginal gel versus intramuscular progesterone for luteal phase supplementation: a prospective randomized trial.
MedLine Citation:
PMID:  18339258     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this randomized study was to compare the efficacy of intramuscular progesterone (IMP) and progesterone in vaginal gel (VGP) at two different doses for luteal support in IVF. A total of 412 patients, aged between 28 and 37 years, were randomized into three groups. The day after oocyte retrieval each patient began supplementation with one of the following: IMP 50 mg daily (150 patients), VGP 90 mg once daily (143 patients), or VPG 90 mg twice daily (148 patients). No significant difference was found between the three groups in any of the endpoints. The rate of positive beta-human chorionic gonadotrophin per transfer was 38.4% with IMP, 35.0% with VPG once daily and 43.1% with VPG twice daily. Clinical pregnancy rate per transfer and implantation rate were 32.6% and 19.6% with IMP, 26.3% and 16.4% with one dose of VGP, and 37.2% and 21.1% with two doses of VGP. Live birth rate per transfer was 26.1%, 23.4% and 29.9%, respectively. Progesterone vaginal gel can be successfully used as an alternative to intramuscular progesterone for luteal support in IVF. One daily dose appears sufficient to induce clinical pregnancies and live births at a rate comparable to intramuscular supplementation.
Authors:
Luca Dal Prato; Liana Bianchi; Monica Cattoli; Nicoletta Tarozzi; Carlo Flamigni; Andrea Borini
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  16     ISSN:  1472-6483     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-14     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  361-7     Citation Subset:  IM    
Affiliation:
Tecnobios Procreazione, Centre for Reproductive Health, Via Dante 15, I-40125, Bologna, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fertilization in Vitro*
Humans
Injections, Intramuscular
Luteal Phase / drug effects*
Pregnancy
Pregnancy Rate
Progesterone / administration & dosage*
Progestins / administration & dosage*
Prospective Studies
Vaginal Creams, Foams, and Jellies
Chemical
Reg. No./Substance:
0/Progestins; 0/Vaginal Creams, Foams, and Jellies; 57-83-0/Progesterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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