Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation

Background: Insufficient serum progesterone level in the implantation phase may reduce the rate of pregnancy during freeze embryo transfer (FET) cycles. The present study aimed to evaluate the impact of FET day serum progesterone level on pregnancy outcomes in patients receiving intramuscular plus v...

Full description

Bibliographic Details
Main Author: Marzieh Mehrafza
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2022-06-01
Series:Journal of Kerman University of Medical Sciences
Subjects:
Online Access:https://jkmu.kmu.ac.ir/article_92101.html
_version_ 1811174541002539008
author Marzieh Mehrafza
author_facet Marzieh Mehrafza
author_sort Marzieh Mehrafza
collection DOAJ
description Background: Insufficient serum progesterone level in the implantation phase may reduce the rate of pregnancy during freeze embryo transfer (FET) cycles. The present study aimed to evaluate the impact of FET day serum progesterone level on pregnancy outcomes in patients receiving intramuscular plus vaginal progesterone administration for endometrial preparation. Methods: Based on serum progesterone level on FET day, patients were divided into four quartiles: first ( < 25%), second (26–50%), third (51%–75%), and fourth ( > 75%). There was no significant difference among groups in basal characteristics. Results: No statistically significant difference was seen among groups concerning the mean number of retrieved and mature oocytes, embryos transferred, and endometrial thickness (EnT). The rate of implantation (P = 0.5), biochemical (P = 0.75), clinical (P = 0.54), and ongoing pregnancy (P = 0.5) were not associated with serum progesterone level on embryo transfer day. Conclusion: We found that there is no association between serum progesterone level on ET day and pregnancy outcome during FET cycles. It seems that combination therapy using intramuscular and vaginal progesterone, keeps the serum progesterone on ET day high enough that eliminates the need for serum progesterone measurement.
first_indexed 2024-04-10T19:21:27Z
format Article
id doaj.art-6cca2b6a0c134d729f16d96e5f8db5bd
institution Directory Open Access Journal
issn 2008-2843
language English
last_indexed 2024-04-10T19:21:27Z
publishDate 2022-06-01
publisher Kerman University of Medical Sciences
record_format Article
series Journal of Kerman University of Medical Sciences
spelling doaj.art-6cca2b6a0c134d729f16d96e5f8db5bd2023-01-30T09:54:48ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432022-06-0129659359710.34172/JKMU.2022.74Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial PreparationMarzieh Mehrafza 0Mehr Fertility Research Center, Guilan University of Medical Sciences, Rasht, IranBackground: Insufficient serum progesterone level in the implantation phase may reduce the rate of pregnancy during freeze embryo transfer (FET) cycles. The present study aimed to evaluate the impact of FET day serum progesterone level on pregnancy outcomes in patients receiving intramuscular plus vaginal progesterone administration for endometrial preparation. Methods: Based on serum progesterone level on FET day, patients were divided into four quartiles: first ( < 25%), second (26–50%), third (51%–75%), and fourth ( > 75%). There was no significant difference among groups in basal characteristics. Results: No statistically significant difference was seen among groups concerning the mean number of retrieved and mature oocytes, embryos transferred, and endometrial thickness (EnT). The rate of implantation (P = 0.5), biochemical (P = 0.75), clinical (P = 0.54), and ongoing pregnancy (P = 0.5) were not associated with serum progesterone level on embryo transfer day. Conclusion: We found that there is no association between serum progesterone level on ET day and pregnancy outcome during FET cycles. It seems that combination therapy using intramuscular and vaginal progesterone, keeps the serum progesterone on ET day high enough that eliminates the need for serum progesterone measurement. https://jkmu.kmu.ac.ir/article_92101.htmlkeywords progesterone intramuscular endometrial pregnancy embryo transfer
spellingShingle Marzieh Mehrafza
Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation
Journal of Kerman University of Medical Sciences
keywords progesterone intramuscular endometrial pregnancy embryo transfer
title Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation
title_full Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation
title_fullStr Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation
title_full_unstemmed Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation
title_short Serum Progesterone Concentration and Ongoing Pregnancy Rate in Frozen-Thawed Embryo Transfers with Intramuscular Plus Vaginal Progesterone Administration for Endometrial Preparation
title_sort serum progesterone concentration and ongoing pregnancy rate in frozen thawed embryo transfers with intramuscular plus vaginal progesterone administration for endometrial preparation
topic keywords progesterone intramuscular endometrial pregnancy embryo transfer
url https://jkmu.kmu.ac.ir/article_92101.html
work_keys_str_mv AT marziehmehrafza serumprogesteroneconcentrationandongoingpregnancyrateinfrozenthawedembryotransferswithintramuscularplusvaginalprogesteroneadministrationforendometrialpreparation