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The purpose of this study is to determine whether pre-treatment with danazol for at least 4 months before controlled ovarian hyperstimulation for IVF cycles improves pregnancy rate.
Endometriosis is a chronic benign disease defined by the presence of endometrial tissue outside the uterine cavity, affecting women in their reproductive age. This disease is clinically characterized by infertility pelvic pain and the presence of ovarian cysts, endometriomas, and affects the about 10% of women. Women with endometriosis when undergo IVF show lower pregnancy rate than general population, and a reduced ovarian reserve, due to the diseases and often to ovarian surgery. The aim of this study is to evaluate if a pre-treatment with danazol, an anti-estrogenic agent, may improve the otcome of IVF cycles in these women
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | Placebo Comparator | patients treated with placebo for at least 4 months before IVF attempt |
|
| danazol | Active Comparator | patients treated with danazol (100mg/day)for at least 4 months before IVF attempt |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Danazol | Drug | 100 mg day for 4 monthh in women with diagnosed endometriosis before IVF |
|
| Measure | Description | Time Frame |
|---|---|---|
| pregnancy rate | number of ongoing pregnancy for the number of IVF cycles | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| implantation rate | number of embryos implanted for the total number of embryos transferred | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| number of mature oocyte collected | number of mature oocyte collected for patient undergoing IVF | 12 months |
Inclusion Criteria:
- Clinical diagnosis of endometriosis previous laparoscopic surgery for ovarian endometriotic cysts infertility
Exclusion Criteria:
- age more than 40 years systemic disease antimulleran hormone (AMH)<1 and FSH>20
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| Name | Affiliation | Role |
|---|---|---|
| Marco Sbracia, MD | Centre for Endocrinology and Reproductive Medicine, Italy | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CERM | Rome | 00153 | Italy |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| D010048 | Ovarian Cysts |
| D007246 | Infertility |
| C565840 | Long Qt Syndrome 3 |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D003613 | Danazol |
| ID | Term |
|---|---|
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
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| placebo | Drug | administered daily like the active comparator |
|
| D000091662 | Genital Diseases |
| D003560 | Cysts |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
| D011083 |
| Polycyclic Compounds |