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Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support
RESEARCH QUESTION: The main objective of the study is to define the optimal trade-off progesterone (P4) values on the day of embryo transfer (ET), to identify low P4-human chorionic gonadotropin (hCG), and to establish whether P4 supplementation started on the hCG day can increase the success rate o...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9929287/ https://www.ncbi.nlm.nih.gov/pubmed/36817599 http://dx.doi.org/10.3389/fendo.2023.1090105 |
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author | Racca, A. Alvarez, M. Garcia Martinez, S. Rodriguez, I. Gonzalez-Foruria, I. Polyzos, NP. Coroleu, B. |
author_facet | Racca, A. Alvarez, M. Garcia Martinez, S. Rodriguez, I. Gonzalez-Foruria, I. Polyzos, NP. Coroleu, B. |
author_sort | Racca, A. |
collection | PubMed |
description | RESEARCH QUESTION: The main objective of the study is to define the optimal trade-off progesterone (P4) values on the day of embryo transfer (ET), to identify low P4-human chorionic gonadotropin (hCG), and to establish whether P4 supplementation started on the hCG day can increase the success rate of the frozen embryo transfer (FET) cycle. DESIGN: A single-center, cohort, retrospective study with 664 hormone replacement therapy (HRT)-FET cycles analyzed female patients who received vaginal 600 mg/day of P4 starting from 6 days before the FET, had normal P4 values on the day before ET, and whose P4 on the day of the pregnancy test was assessed. RESULTS: Of the 664 cycles, 69.6% of cycles showed P4 ≥ 10.6 ng/ml, while 30.4% showed P4 < 10.6 ng/ml on the day of the hCG. Of the 411 chemical pregnancies detected, 71.8% had P4-hCG ≥ 10.6 ng/ml (group A), while 28.2% had P4-hCG < 10.6 ng/ml. Of the cycles with P4-hCG < 10.6 ng/ml, 64.7% (group B) were supplemented with a higher dose of vaginal P4 (1,000 mg/day), while 35.3% (group C) were maintained on the same dose of vaginal micronized P4. The live birth rate was 71.9%, 96%, and 7.3% for groups A, B, and C, respectively. CONCLUSION: The likelihood to detect P4-hCG < 10.6 ng/ml decreased as the level of serum P4 the day before ET increased. The live birth rate (LBR) was shown to be significantly lower when P4 was low and not supplemented. |
format | Online Article Text |
id | pubmed-9929287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99292872023-02-16 Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support Racca, A. Alvarez, M. Garcia Martinez, S. Rodriguez, I. Gonzalez-Foruria, I. Polyzos, NP. Coroleu, B. Front Endocrinol (Lausanne) Endocrinology RESEARCH QUESTION: The main objective of the study is to define the optimal trade-off progesterone (P4) values on the day of embryo transfer (ET), to identify low P4-human chorionic gonadotropin (hCG), and to establish whether P4 supplementation started on the hCG day can increase the success rate of the frozen embryo transfer (FET) cycle. DESIGN: A single-center, cohort, retrospective study with 664 hormone replacement therapy (HRT)-FET cycles analyzed female patients who received vaginal 600 mg/day of P4 starting from 6 days before the FET, had normal P4 values on the day before ET, and whose P4 on the day of the pregnancy test was assessed. RESULTS: Of the 664 cycles, 69.6% of cycles showed P4 ≥ 10.6 ng/ml, while 30.4% showed P4 < 10.6 ng/ml on the day of the hCG. Of the 411 chemical pregnancies detected, 71.8% had P4-hCG ≥ 10.6 ng/ml (group A), while 28.2% had P4-hCG < 10.6 ng/ml. Of the cycles with P4-hCG < 10.6 ng/ml, 64.7% (group B) were supplemented with a higher dose of vaginal P4 (1,000 mg/day), while 35.3% (group C) were maintained on the same dose of vaginal micronized P4. The live birth rate was 71.9%, 96%, and 7.3% for groups A, B, and C, respectively. CONCLUSION: The likelihood to detect P4-hCG < 10.6 ng/ml decreased as the level of serum P4 the day before ET increased. The live birth rate (LBR) was shown to be significantly lower when P4 was low and not supplemented. Frontiers Media S.A. 2023-02-01 /pmc/articles/PMC9929287/ /pubmed/36817599 http://dx.doi.org/10.3389/fendo.2023.1090105 Text en Copyright © 2023 Racca, Alvarez, Garcia Martinez, Rodriguez, Gonzalez-Foruria, Polyzos and Coroleu https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Racca, A. Alvarez, M. Garcia Martinez, S. Rodriguez, I. Gonzalez-Foruria, I. Polyzos, NP. Coroleu, B. Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support |
title | Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support |
title_full | Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support |
title_fullStr | Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support |
title_full_unstemmed | Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support |
title_short | Assessment of progesterone levels on the day of pregnancy test determination: A novel concept toward individualized luteal phase support |
title_sort | assessment of progesterone levels on the day of pregnancy test determination: a novel concept toward individualized luteal phase support |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9929287/ https://www.ncbi.nlm.nih.gov/pubmed/36817599 http://dx.doi.org/10.3389/fendo.2023.1090105 |
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