Status:

UNKNOWN

Luteal Phase Support With Estradiol In Poor Responders Undergoing In Vitro Fertilization

Lead Sponsor:

Ain Shams University

Conditions:

ICSI

Eligibility:

FEMALE

35-44 years

Phase:

PHASE3

Brief Summary

The role of progesterone (P) supplementation in the luteal phase of in vitro fertilization (IVF) cycles is well established world-wide , but the influence of the luteal phase estradiol level on implan...

Eligibility Criteria

Inclusion

  • Participants included in this study will have the following criteria : ( 2 of 3 criteria )
  • advanced maternal age or any other risk factor for POR :
  • Age ≥35 years
  • other risk factor of poor responder : ovarian surgery especially in case of endometrioma , chemotherapy, radiotherapy, autoimmune disorders, single ovary, chronic smoking, and unexplained Infertility.
  • previous poor ovarian response : Number of oocytes at the pickup time 3 or less .
  • Abnormal ovarian reserve tests :
  • FSH ≥12 mIu/ml in the early follicular phase .
  • Estradiol level more than 70 pg/dl in the early follicular phase
  • Anti-Mullerian hormone (AMH) below 0.5-1.1 ng/ml.
  • Antral follicle count (AFC) \< 5-7 follicles .

Exclusion

  • Age \>35 with good ovarian response .
  • any intra-uterine pathology can affect receptivity , ( for example ; Sub-mucosal fibroid , intra-uterine adhesions ).
  • Severe male factor infertility.
  • Extended endometriosis (stage 3 or more) .
  • All contraindications for estradiol : venous thrombo-embolism , stroke and breast cancer

Key Trial Info

Start Date :

April 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2019

Estimated Enrollment :

170 Patients enrolled

Trial Details

Trial ID

NCT03788681

Start Date

April 1 2018

End Date

September 1 2019

Last Update

December 27 2018

Active Locations (1)

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1

AinShams university maternity hospital

Cairo, Abbassya, Egypt, 11566