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In the window of implantation, progesterone plays an important role. Sufficient serum progesterone is basic for ongoing pregnancy. Vaginal progesterone is more and more widely used in ART. As it has no hepatic first pass effect. What is the optimal serum level for pregnancy when use vaginal progesterone is not known yet? Hormone replacement therapy- FET is the optimal strategy to explore this question. There are some retrospective studies showed that the serum progesterone level on embryo transfer day (D3 or D5) or pregnancy test day (D14) lower than 10-11ng/ml is significantly associated with ongoing pregnancy rate in HRT-FET cycles. This prospective study is designed to compare the ongoing pregnancy rate between different serum progesterone levels on D3 and to explore the intervention of additional progesterone supplement since D3 is helpful in HRT-FET cycles.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A1 | Experimental | The included patient should test serum progesterone level on D3 no matter which day perform the embryo transfer. According to the progesterone level, there are two groups, Group A: serum progesterone <7.24ug/L, followed by randomized A1: plus additional treatment(intramuscular progesterone 20-40mg from D3 ) |
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| A2 | No Intervention | The included patient should test serum progesterone level on D3 no matter which day perform the embryo transfer. According to the progesterone level, there are two groups, Group A: serum progesterone <7.24ug/L, followed by randomized A2:without additional treatment | |
| B | No Intervention | Group B:serum progesterone ≥7.24ug/L, without additional treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intramuscular progesterone 20-40mg from D3 until pregnancy test | Drug | serum progesterone <7.24ug/L, followed by randomized A1: plus additional treatment(intramuscular progesterone 20-40mg from D3 ) |
| Measure | Description | Time Frame |
|---|---|---|
| Ongoing pregnancy rate | beyond pregnancy week 12 in HRT-FET cycles | 10 weeks after embryo transfer |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | intrauterine gestational sacs by ultrasound | 10 weeks after embryo transfer |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34980220 | Derived | Haiyan L, Gang Y, Yu L, Lin L, Xiaoli C, Qingxue Z. Does serum progesterone level impact the ongoing pregnancy rate in frozen embryo transfer under artificial preparation with vaginal progesterone? Study protocol for a randomized controlled trial. Trials. 2022 Jan 3;23(1):3. doi: 10.1186/s13063-021-05953-8. |
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