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Many studies have demonstrated that endometrial scratch significantly increase pregnancy rate in patients undergoing in vitro fertilization and embryo transfer. However, only a limited number of studies have been conducted in frozen thawed transfer (FET) cycle. Nowadays, in FET cycles, endometrial scratch is mainly performed on two different time points: 1) luteal phase in the previous cycle; 2)early follicular phase in the current cycle. However, few studies have compared the effectiveness of those two different endometrial scratch methods performed in different timing. The aim of this study is to find the best timing of endometrial scratch in FET cycles.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Young age group-Luteal phase | Experimental | Endometrial injury in luteal phase (previous menstrual cycle) for patients undergoing Frozen thawed embryo transfer. |
|
| Young age group-Early follicular phase | Active Comparator | Endometrial injury in early follicular phase for patients undergoing Frozen thawed embryo transfer. |
|
| Advanced age group-Luteal phase | Experimental | Endometrial injury in luteal phase (previous menstrual cycle) for patients undergoing Frozen thawed embryo transfer. |
|
| Advanced age group-Early follicular phase | Active Comparator | Endometrial injury in early follicular phase for patients undergoing Frozen thawed embryo transfer. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| endometrial scratch | Procedure | local injury to the endometrium by Pipelle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | See heart beat with ultrasonic exam. | 35 days after embryo transfer |
| Measure | Description | Time Frame |
|---|---|---|
| Ectopic pregnancy rate | No sac can be seen inside uterine 35 days after embryo transfer, but with high hCG level | 35 days after embryo transfer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yingpu Sun, MD,PhD | Contact | 86-13803841888 | syp2008@vip.sina.com | |
| Linli Hu, MD,PhD | Contact | 86-15890619576 | hulinli1999@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Yingpu Sun, MD,PhD | Reproductive Medical Center, First Affiliated Hospital of Zhengzhou University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Reproductive Medical Center, 1st Affiliated hospital of Zhengzhou University | Recruiting | Zhengzhou | Henan | 450052 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25205759 | Background | Yeung TW, Chai J, Li RH, Lee VC, Ho PC, Ng EH. The effect of endometrial injury on ongoing pregnancy rate in unselected subfertile women undergoing in vitro fertilization: a randomized controlled trial. Hum Reprod. 2014 Nov;29(11):2474-81. doi: 10.1093/humrep/deu213. Epub 2014 Sep 8. | |
| 25803542 | Background |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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|
| Nastri CO, Lensen SF, Gibreel A, Raine-Fenning N, Ferriani RA, Bhattacharya S, Martins WP. Endometrial injury in women undergoing assisted reproductive techniques. Cochrane Database Syst Rev. 2015 Mar 22;(3):CD009517. doi: 10.1002/14651858.CD009517.pub3. |
| 23063812 | Background | Potdar N, Gelbaya T, Nardo LG. Endometrial injury to overcome recurrent embryo implantation failure: a systematic review and meta-analysis. Reprod Biomed Online. 2012 Dec;25(6):561-71. doi: 10.1016/j.rbmo.2012.08.005. Epub 2012 Sep 12. |
| 22885017 | Background | El-Toukhy T, Sunkara S, Khalaf Y. Local endometrial injury and IVF outcome: a systematic review and meta-analysis. Reprod Biomed Online. 2012 Oct;25(4):345-54. doi: 10.1016/j.rbmo.2012.06.012. Epub 2012 Jun 26. |
| 25064410 | Background | Dain L, Ojha K, Bider D, Levron J, Zinchenko V, Walster S, Dirnfeld M. Effect of local endometrial injury on pregnancy outcomes in ovum donation cycles. Fertil Steril. 2014 Oct;102(4):1048-54. doi: 10.1016/j.fertnstert.2014.06.044. Epub 2014 Jul 23. |