Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques

ABSTRACT Objective To evaluate the predictive capacity for pregnancy of the progesterone level on the day of administering human chorionic gonadotropin, in women submitted to assisted reproductive techniques. Methods An observational study with 914 women submitted to assisted reproductive techni...

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Main Authors: Renato de Oliveira, Fernanda Godoy Cabral, Waldemar de Almeida Pereira Carvalho, Emerson Barchi Cordts, Bianca Bianco, Caio Parente Barbosa
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300273&lng=en&tlng=en
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author Renato de Oliveira
Fernanda Godoy Cabral
Waldemar de Almeida Pereira Carvalho
Emerson Barchi Cordts
Bianca Bianco
Caio Parente Barbosa
author_facet Renato de Oliveira
Fernanda Godoy Cabral
Waldemar de Almeida Pereira Carvalho
Emerson Barchi Cordts
Bianca Bianco
Caio Parente Barbosa
author_sort Renato de Oliveira
collection DOAJ
description ABSTRACT Objective To evaluate the predictive capacity for pregnancy of the progesterone level on the day of administering human chorionic gonadotropin, in women submitted to assisted reproductive techniques. Methods An observational study with 914 women submitted to assisted reproductive techniques from August 2014 to June 2016. Results Total pregnancy rate was 34.58%; in that, the pregnancy rate in women <35 years, between 35 and 38, and >38 years was, respectively, 42.3%, 38.7% and 16.1% (p<0.001). For embryo transfer in the same cycle, and progesterone of 1.3ng/dL, sensitivity was 4.78%, specificity, 84.18%, accuracy, 56.72%, positive likelihood ratio of 0.3019, and negative likelihood ratio of 1.1312, with receiver operating characteristic curve of 0.46 (95%CI: 0.42-0.49). Conclusion The progesterone level on the day of administering human chorionic gonadotropin of 1.3ng/dL differs from that empirically adopted at the study site (1.7ng/dL), and has a better predictive capacity for pregnancy in the patients studied. However, the low sensitivity of this examination raises questions about its real importance.
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spelling doaj.art-43dc39da45d54fa88d9100b2423627592022-12-21T23:54:13ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638515327327710.1590/s1679-45082017ao4091S1679-45082017000300273Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniquesRenato de OliveiraFernanda Godoy CabralWaldemar de Almeida Pereira CarvalhoEmerson Barchi CordtsBianca BiancoCaio Parente BarbosaABSTRACT Objective To evaluate the predictive capacity for pregnancy of the progesterone level on the day of administering human chorionic gonadotropin, in women submitted to assisted reproductive techniques. Methods An observational study with 914 women submitted to assisted reproductive techniques from August 2014 to June 2016. Results Total pregnancy rate was 34.58%; in that, the pregnancy rate in women <35 years, between 35 and 38, and >38 years was, respectively, 42.3%, 38.7% and 16.1% (p<0.001). For embryo transfer in the same cycle, and progesterone of 1.3ng/dL, sensitivity was 4.78%, specificity, 84.18%, accuracy, 56.72%, positive likelihood ratio of 0.3019, and negative likelihood ratio of 1.1312, with receiver operating characteristic curve of 0.46 (95%CI: 0.42-0.49). Conclusion The progesterone level on the day of administering human chorionic gonadotropin of 1.3ng/dL differs from that empirically adopted at the study site (1.7ng/dL), and has a better predictive capacity for pregnancy in the patients studied. However, the low sensitivity of this examination raises questions about its real importance.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300273&lng=en&tlng=enGravidezGonadotropina coriônicaProgesteronaTécnicas de reprodução assistida
spellingShingle Renato de Oliveira
Fernanda Godoy Cabral
Waldemar de Almeida Pereira Carvalho
Emerson Barchi Cordts
Bianca Bianco
Caio Parente Barbosa
Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
Einstein (São Paulo)
Gravidez
Gonadotropina coriônica
Progesterona
Técnicas de reprodução assistida
title Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
title_full Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
title_fullStr Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
title_full_unstemmed Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
title_short Progesterone level on the day of hCG administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
title_sort progesterone level on the day of hcg administration in relation to the pregnancy rates of patients undergoing assisted reproduction techniques
topic Gravidez
Gonadotropina coriônica
Progesterona
Técnicas de reprodução assistida
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300273&lng=en&tlng=en
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