Human chorionic gonadotropin levels in early IVF/ICSI pregnancies are higher in singletons after single embryo transfer compared with singletons after double embryo transfer

被引:5
作者
Delbaere, I. [1 ]
Vansteelandt, S. [2 ]
Gerris, J. [1 ]
De Sutter, P. [1 ]
De Bacquer, D. [3 ]
Temmerman, M. [1 ]
机构
[1] Univ Ghent, Dept Obstet & Gynaecol, B-9000 Ghent, Belgium
[2] Univ Ghent, Dept Appl Math & Comp Sci, B-9000 Ghent, Belgium
[3] Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium
关键词
hCG; implantation; SET; DET;
D O I
10.1093/humrep/den289
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BACKGROUND: The aim of this study is to assess differences in human chorionic gonadotropin (hCG) values between singleton IVF/ICSI pregnancies after elective single (eSET) versus double embryo transfer (DET). METHODS: This is a unicentre, retrospective, non-randomized study of women with eSET or DET in years 2000-2006, giving birth to a singleton child with a birthweight of at least 500 g (N = 790). These women had between 1 and 6 hCG assessments in our centre. Log hCG values from Days 15 to 35 after oocyte pick-up were compared between eSET and DET patients in a multivariate analysis. RESULTS: We compared log hCG values in 456 eSET patients with log hCG values in 334 DET patients. Log hCG values were significantly higher after eSET than after DET from Day 15 until Day 35 after oocyte pick-up (P < 0.001). CONCLUSION: The lower hCG values in early pregnancy are possibly due to a delay in implantation when two embryos are transferred and one of them does not implant, but the exact mechanism is unknown.
引用
收藏
页码:2421 / 2426
页数:6
相关论文
共 21 条
[1]   Human chorionic gonadotrophin concentrations in early pregnancy after in-vitro fertilization [J].
Bjercke, S ;
Tanbo, T ;
Dale, PO ;
Morkrid, L ;
Åbyholm, T .
HUMAN REPRODUCTION, 1999, 14 (06) :1642-1646
[2]  
De Sutter P, 2003, Reprod Biomed Online, V6, P464
[3]   Birthweight of singletons after assisted reproduction is higher after single- than after double-embryo transfer [J].
De Sutter, Petra ;
Delbaere, Ilse ;
Gerris, Jan ;
Verstraelen, Hans ;
Goetgeluk, Sylvie ;
Van der Elst, Josiane ;
Temmerman, Marleen ;
Dhont, Marc .
HUMAN REPRODUCTION, 2006, 21 (10) :2633-2637
[4]   Human chorionic gonadotropin levels in successful implantations after assisted reproduction techniques [J].
Ertzeid, G ;
Tanbo, T ;
Dale, PO ;
Storeng, R ;
Morkrid, L ;
Åbyholm, T .
GYNECOLOGICAL ENDOCRINOLOGY, 2000, 14 (04) :258-263
[5]   Human chorionic gonadotropin expression in human trophoblasts from early placenta: Comparative study between villous and extravillous trophoblastic cells [J].
Handschuh, K. ;
Guibourdenche, J. ;
Tsatsaris, V. ;
Guesnon, M. ;
Laurendeau, I. ;
Evain-Brion, D. ;
Fournier, T. .
PLACENTA, 2007, 28 (2-3) :175-184
[6]   Human chorionic gonadotropin as a predictor of outcome in assisted reproductive technology pregnancies [J].
Homan, G ;
Brown, S ;
Moran, J ;
Homan, S ;
Kerin, J .
FERTILITY AND STERILITY, 2000, 73 (02) :270-274
[7]   SERUM GONADOTROPINS BEFORE, AT INCEPTION OF, AND FOLLOWING HUMAN PREGNANCY [J].
JAFFE, RB ;
LEE, PA ;
MIDGLEY, AR .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1969, 29 (09) :1281-+
[8]   REGULATION OF CHORIONIC-GONADOTROPIN GENE-EXPRESSION [J].
JAMESON, JL ;
HOLLENBERG, AN .
ENDOCRINE REVIEWS, 1993, 14 (02) :203-221
[9]  
KELLY MP, 1991, FERTIL STERIL, V56, P221
[10]   Optimizing hCG cut-off values: A single determination on day 14 or 15 is sufficient for a reliable prediction of pregnancy outcome [J].
Lambers, Marieke J. ;
van Weering, Hans G. I. ;
van't Grunewold, Maud S. ;
Lambalk, Cornelis B. ;
Homburg, Roy ;
Schats, Roel ;
Hompes, Peter G. A. .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2006, 127 (01) :94-98