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| Name | Class |
|---|---|
| Cairo University | OTHER |
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The aim of this randomized controlled trial is to compare the efficacy and cost-effectiveness of using progestin with GnRH antagonist to prevent premature LH surge in poor responders undergoing double stimulation protocol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Progestin primed ovarian stimulation group | Experimental | HMG ( 300IU) was used during the follicular phase of ovarian stimulation (FPS) and during the luteal phase of ovarian stimulation (LPS). Progestin (dydrogesterone) 30 mg/day was used to prevent premature LH surge during the FPS and LPS. In subsequent cycle, frozen embryo transfer was done |
|
| GnRH antagonist group | Active Comparator | HMG ( 300IU) was used during the follicular phase of ovarian stimulation (FPS) and during the luteal phase of ovarian stimulation (LPS). Flexible GnRH antagonist protocol (Cetrorelix acetate) (0.2 mg) was used to prevent premature LH surge during the FPS and LPS. In subsequent cycle, frozen embryo transfer was done |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Progestin primed ovarian stimulation | Drug | HMG ( 300IU) was used during the follicular phase of ovarian stimulation (FPS) and during the luteal phase of ovarian stimulation (LPS). Progestin (dydrogesterone) 30 mg/day was used to prevent premature LH surge during the FPS and LPS. |
| Measure | Description | Time Frame |
|---|---|---|
| Medications costs per retrieved oocyte | Total cost of medications used in all cycles/number of retrieved oocytes | Ten to fifteen days after starting ovarian stimulation] |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | Presence of intrauterine gestational sac detected by transvaginal ultrasound | 5 weeks after embryo transfer] |
| Ongoing Pregnancy Rate | Pregnancies continued beyond 20 weeks gestation |
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Inclusion Criteria:
Patients belonging to Poseidon group 4
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Usama M Fouda, Prof. | Contact | +201095401375 | umfrfouda@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Samar A Alhofy, M.D, Msc | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Recruiting | Cairo | Cairo Governorate | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27020168 | Background | Ubaldi FM, Capalbo A, Vaiarelli A, Cimadomo D, Colamaria S, Alviggi C, Trabucco E, Venturella R, Vajta G, Rienzi L. Follicular versus luteal phase ovarian stimulation during the same menstrual cycle (DuoStim) in a reduced ovarian reserve population results in a similar euploid blastocyst formation rate: new insight in ovarian reserve exploitation. Fertil Steril. 2016 Jun;105(6):1488-1495.e1. doi: 10.1016/j.fertnstert.2016.03.002. Epub 2016 Mar 25. |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| C092464 | LHRH, Ac-Nal(1)-Cpa(2)-Trp(3)-Arg(6)-Ala(10)- |
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| GnRH antagonist | Drug | HMG ( 300IU) was used during the follicular phase of ovarian stimulation (FPS) and during the luteal phase of ovarian stimulation (LPS). Flexible GnRH antagonist protocol (Cetrorelix acetate) (0.2 mg) was used to prevent premature LH surge during the FPS and LPS. |
|
| 18 weeks after embryo transfer] |
| Bedaya Hospital | Not yet recruiting | Giza | Egypt |
|