GnRH agonist administration as luteal support on the transfer day of single blastocyst in dual-triggered cycles

OBJECTIVES: Luteal phase support with gonadotropin-releasing hormone agonist (GnRH-a) has been considered in terms of its potential beneficial effects on in vitro fertilisation (IVF) cycles. In our study, we assessed the effectiveness of single-dose GnRH-a administration in dual-triggered cycles on pregnancy outcomes.

MATERIAL AND METHODS: Eighty women who underwent intra cytoplasmic sperm injection (ICSI) cycle and had fresh blastocyst transfer were divided into two groups in terms of luteal phase support. The study group (Group A) consisted of patients (n = 40) who received a single-dose GnRH-a injection (0.1 mg of triptorelin acetate) subcutaneously 6 days after oocyte retrieval in addition to 600 mg daily of micronised progesterone, and the control group (Group B) comprised of patients (n = 40) taking 600 mg micronised progesterone daily from the first day after oocyte retrieval. GnRH-a and human chorionic gonadotropin (hCG; dual trigger) were administered to all patients. Comparison of the clinical pregnancy and live birth rates was our main goal.

RESULTS: There was no significant difference between the two groups in terms of β-hCG positivity rates, clinical pregnancy rates and live birth rates (p value for beta-hCG = 0.25, clinical pregnancy = 0.80, live birth = 0.45).

CONCLUSIONS: Our study demonstrated that in dual triggered cycles administration of a single dose of GnRH-a on the transfer day of a single blastocyst in addition to routine luteal phase support with progesterone does not statistically increase implantation, clinical pregnancy or live birth rates.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:94

Enthalten in:

Ginekologia polska - 94(2023), 5 vom: 23., Seite 374-388

Sprache:

Englisch

Beteiligte Personen:

Demir, Ahmet [VerfasserIn]
Köse, Can [VerfasserIn]
Şahin Güleç, Ebru [VerfasserIn]
Türkmen, Pınar [VerfasserIn]
Töz, Emrah [VerfasserIn]
Peker, Nuri [VerfasserIn]

Links:

Volltext

Themen:

33515-09-2
4G7DS2Q64Y
Chorionic Gonadotropin
GnRH agonist
Gonadotropin-Releasing Hormone
IVF
Journal Article
Luteal phase support
Progesterone

Anmerkungen:

Date Completed 09.06.2023

Date Revised 21.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.5603/GP.a2022.0082

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM345157192