Status:

COMPLETED

The Effects of an Intensive Lifestyle Intervention on Reproductive Outcomes

Lead Sponsor:

Amy E Rothberg

Collaborating Sponsors:

University of Michigan

Conditions:

Subfertility

Anovulatory

Eligibility:

FEMALE

18-35 years

Phase:

NA

Brief Summary

This is a study to determine whether a low calorie diet using meal replacement shakes compared to current counseling about diet, followed by 3 cycles of clomiphene citrate (if needed) will result in: ...

Detailed Description

More than 33% of U.S. adults over the age of 20 are obese (BMI ≥30 kg/m2), and 6% are severely obese (BMI ≥40 kg/m2). As the prevalence and severity of obesity has increased, so has the number of wome...

Eligibility Criteria

Inclusion

  • Women
  • 18 to 35 years old
  • Obese(BMI of ≥35≤45 kg/m2)
  • Infertility (12 months of unprotected intercourse without conception)
  • Ovulatory dysfunction (amenorrhea, irregular cycles, or progesterone level less than 10 ng/mL in the luteal phase)
  • Partner with semen analysis demonstrating at least 20 million sperm/mL, 50% motility, and normal morphology by Kruger criteria of 8%
  • Evidence of normal uterine anatomy and at least on patent tube documented by hysterosalpingogram or saline infusion sonogram.
  • Women with polycystic ovary syndrome

Exclusion

  • Significant heart disease (coronary artery disease, Class II-VI Heart Failure, arrythmia)
  • Chronic Kidney Disease, Stage IV or greater
  • Significant gastrointestinal tract diseases (e.g. IBD)
  • Autoimmune disorders (e.g. systemic lupus erythematosus)
  • Neurological (e.g. Multiple Sclerosis)
  • Psychiatric disorders (Bipolar, Major Depression)
  • History of or current eating disorders or substance abuse
  • Endocrine disorders (Type 1 diabetes, adrenal, pituitary or uncontrolled thyroid disease)
  • HIV/AIDS
  • Significant anemia
  • History of or current clotting disorder
  • Cancer other than minor skin cancers
  • Other conditions that would complicated pregnancy.
  • Women will be excluded if they are taking anti-obesity drugs, or appetite suppressants within the last 2 months, or have had previous bariatric surgery.
  • Women will be excluded if they have used hormonal medications within the last 2 months, previous use of ovulation induction medications, have endometriosis by American Fertility Society (AFS) class III or IV, have an FSH \> 10 IU/mL or couples using donor sperm or are already pregnant.

Key Trial Info

Start Date :

July 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2015

Estimated Enrollment :

14 Patients enrolled

Trial Details

Trial ID

NCT01894074

Start Date

July 1 2013

End Date

July 1 2015

Last Update

December 4 2015

Active Locations (1)

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UMichigan

Ann Arbor, Michigan, United States, 48109