Progesterone concentrations on blastocyst transfer day in modified natural cycle frozen embryo transfer cycles

被引：3

作者：

Saupstad, Marte ^{[1
]}

Bergenheim, Sara J. ^{[1
]}

Bogstad, Jeanette W. ^{[1
]}

Petersen, Morten R. ^{[1
]}

Klajnbard, Anna ^{[2
]}

Praetorius, Lisbeth ^{[3
]}

Freiesleben, Nina l. C. ^{[3
,9
]}

Englund, Anne L. ^{[4
]}

Lokkegaard, Ellen C. L. ^{[5
,9
]}

Knudsen, Ulla B. ^{[6
]}

Husth, Merete ^{[7
]}

Alsbjerg, Birgit ^{[8
]}

Moller, Julie E. ^{[1
]}

Dam, Tine V. ^{[1
]}

Forman, Julie L. ^{[10
]}

Pinborg, Anja ^{[1
,9
]}

Lossl, Kristine ^{[1
,9
]}

机构：

[1] Copenhagen Univ Hosp, Dept Gynaecol Fertil & Obstet, Rigshosp, Fertil Clin, Copenhagen, Denmark

[2] Copenhagen Univ Hosp Herlev, Dept Obstet & Gynaecol, Fertil Clin, Herlev, Denmark

[3] Copenhagen Univ Hosp Hvidovre, Dept Obstet & Gynaecol, Fertil Clin, Hvidovre, Denmark

[4] Zealand Univ Hosp Koege, Dept Obstet & Gynaecol, Fertil Clin, Koege, Denmark

[5] Copenhagen Univ Hosp North Zealand, North Zealand Hosp, Dept Obstet & Gynaecol, Hillerod, Denmark

[6] Reg Hosp Horsens, Dept Obstet & Gynaecol, Fertil Clin, Horsens, Denmark

[7] Aalborg Univ Hosp South, Aalborg Univ Hosp, Fertil Unit, Aalborg, Denmark

[8] Skive Reg Hosp, Fertil Clin, Skive, Denmark

[9] Univ Copenhagen, Inst Clin Med, Fac Hlth & Med Sci, Copenhagen, Denmark

[10] Univ Copenhagen, Dept Publ Hlth, Sect Biostat, Copenhagen, Denmark

来源：

REPRODUCTIVE BIOMEDICINE ONLINE | 2024年 / 49卷 / 01期

关键词：

Blastocyst transfer; Clinical pregnancy rate; Frozen embryo transfer; fied natural cycle; Progesterone; LOW SERUM PROGESTERONE; IMPLANTATION; IMPACT;

D O I：

10.1016/j.rbmo.2024.103862

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Research question: Are serum progesterone concentrations on the day of modi fi ed natural cycle (mNC) frozen blastocyst transfer (FET) without luteal phase support (LPS) associated with clinical pregnancy rate (CPR)? Design: Data were collected between January 2019 and October 2022 as a sub -study of an ongoing randomized controlled trial assessing pregnancy outcomes in mNC-FET. The sub -study included all women ( n = 209) randomized to mNC-FET without LPS at the time of data extraction. Participants were aged 18 - 41 years, had regular menstrual cycles and underwent mNC-FET treatment with single-blastocyst transfer. Associations between the serum progesterone concentration on the day of blastocyst transfer and CPR, pregnancy rate and pregnancy loss rate (PLR) were examined between groups with low and higher progesterone concentrations using the 25th and 10th percentiles as cut-offs. Multivariate logistic regression analyses were performed to adjust for potential confounding factors. Results: Progesterone concentrations on the day of blastocyst transfer in mNC-FET without LPS ranged from 4.9 to 91.8 nmol/l, with the 25th and 10th percentiles at 29.0 nmol/l and 22.5 nmol/l, respectively. Serum progesterone concentrations did not differ between women with or without a clinical pregnancy (mean [SD] 38.5 [14.0] versus 36.8 [12.4] nmol/l; P = 0.350). Furthermore, the CPR, pregancy rate and PLR were similar in women with low or high progesterone concentrations when using the 25th or the 10th progesterone percentile as cut-off. Multivariate regression analyses showed no association between progesterone concentrations and CPR. Conclusions: No association was found between progesterone concentration on the day of blastocyst transfer and pregnancy outcome in women undergoing mNC-FET without progesterone LPS.

引用

页数：8

共 31 条

[1] Can combining vaginal and rectal progesterone achieve the optimum progesterone range required for implantation in the HRT-FET model? [J].