Cumulative live birth rate of in vitro fertilization cycle via progestin-primed ovarian stimulation versus gonadotropin-releasing hormone antagonist protocol in infertile women with normal ovarian reserve : an open-label, randomized controlled trial

This study aimed to evaluate the cumulative live birth rate (cLBR) of progestin-primed ovarian stimulation (PPOS) protocol versus gonadotropin-releasing hormone antagonist (GnRH-ant) protocol for in vitro fertilization (IVF) cycle in infertile women with normal ovarian reserve (NOR). Infertile women with NOR who underwent their first IVF cycle were enrolled in an open-label randomized controlled trial. Patients were randomly assigned 1:1 to receive a freeze-all strategy with delayed embryo transfer (PPOS group, n = 174) and fresh embryo transfer first (GnRH-ant group, n = 174). The primary outcome was the cLBR per aspiration. The cLBR between the PPOS group and GnRH-ant group were comparable (55.75% vs. 52.87%, p = 0.591). A premature luteinizing hormone surge was not observed in the PPOS group, while there were six cases (3.45%) in the GnRH-ant group, but no premature ovulation in either of the groups. The pregnancy outcomes, including implantation rate, clinical pregnancy rate and miscarriage rate, were all comparable. In addition, the number of retrieved oocytes, mature oocytes and viable embryos were similar (all p > 0.05) between the two groups.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Human fertility (Cambridge, England) - 27(2024), 1 vom: 15. Feb., Seite 2316005

Sprache:

Englisch

Beteiligte Personen:

Ye, Hongjuan [VerfasserIn]
Shi, Liya [VerfasserIn]
Quan, Xinxin [VerfasserIn]
Hou, Min [VerfasserIn]
Ma, Huilan [VerfasserIn]
Xue, Songguo [VerfasserIn]
Yu, Zhao [VerfasserIn]
Chen, Qiuju [VerfasserIn]
Sun, Lihua [VerfasserIn]

Links:

Volltext

Themen:

33515-09-2
Clinical Trial Protocol
Female infertility
Gonadotropin-Releasing Hormone
Gonadotropin-releasing hormone antagonist
Hormone Antagonists
In vitro fertilization
Journal Article
Ovarian reserve
Ovarian stimulation
Progestin
Progestins
This trial was registered in the China Clinical Trial Registry on 6 September 2018 (ChiCTR1800018246)

Anmerkungen:

Date Completed 16.02.2024

Date Revised 16.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14647273.2024.2316005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368480372