scholarly journals Early serum progesterone and prolactin analysis at day 9 of oocyte retrieval as a predictor of success in fresh ICSI cycles

Author(s):  
Paulina A. Santander Pérez ◽  
Álvaro P. Ceschin ◽  
Daniela M P de Moraes ◽  
Lucileine K S N de Oliveira ◽  
Ianae I Ceschin ◽  
...  
2022 ◽  
Vol 10 (B) ◽  
pp. 36-41
Author(s):  
Shereen Abdulhussien Kzar ◽  
Zainab Khafajy ◽  
Shatha Sadiq Al-Marayaty

BACKGROUND: In intracytoplasmic sperm injection (ICSI) infertility treatment cycles, measuring serum Progesterone level at day 9 after oocyte retrieval could be used as a predictor of success. METHODS: Sixty-nine women were prospectively included in this study, treated with fresh embryo transfer ICSI cycles. Progesterone analyses were performed on the day of oocyte pick up (day 0) at serum and follicular fluid, then re-assessment at serum on day 9 after oocyte retrieval. The data were compared to evaluate the correlation among hormones measured on day 0 and day 9 with pregnancy rate. RESULTS: Pregnancy rate of Iraqi women was 22% (n = 15), mean serum progesterone on day 9 among pregnant ladies was (mean ± SD, 39.5 ± 13.0) which was significantly higher than that who failed to get pregnant (mean 23.2 ± 11, p = 0.001), then after adjustment of the baseline readings (day 0) estimated mean = 11.1. The differences were still significant, receiver operating characteristic curve area showed that serum Progesterone on day 9 after pick up can differentiate correctly between those who will conceive and those who will not, with a sensitivity = 0.933 and specificity = 0.519, at cut off point = 22.33 and above, (Area under the curve = 0.822, p = 0.001). CONCLUSION: Serum progesterone on day 9 could be one of the predictors of endometrial receptivity and pregnancy, which is actually of great value for both doctors and patients during that stressful period till the date of confirmation, which might negatively affect treatment outcome, as well as the psychosocial and pharmacological impact of medication and limited activity for a failed one.


2006 ◽  
Vol 18 (2) ◽  
pp. 225
Author(s):  
M. S. Hossein ◽  
M. K. K ◽  
G. Jang ◽  
Y. H. Fibrianto ◽  
H. J. Oh ◽  
...  

Reproductive physiology, especially the gamete physiology of bitches, hinders the success of in vitro maturation procedure. Assisted reproductive techniques (ART) in canine greatly depend on in vivo matured oocytes. The study was designed to evaluate the potential of flushing fallopian tubes to collect in vivo-matured oocytes for ART by laparotomy and to study the seasonal effects and the parity of donor bitches on the success of oocyte retrieval. A total of 124 bitches, 39, 44, 25, and 16 in spring, summer, autumn and winter, respectively, were used. The average temperature (�F) and relative humidity (%) were 55.29 and 57.17, 75.67, and 72.83, 59.65 and 64.67, and 33.55 and 58.67 for spring, summer, autumn, and winter, respectively. Eighteen nulliparous and 18 multiparous bitches were used to determine the effect of parity. Vaginal cytology and serum progesterone concentration were checked daily to determine ovulation time. Laparotomy was performed under general anesthesia after 72 h when progesterone initially reached 4.0 nm/mL or more. About 7 mL of TCM-199 supplemented with HEPES (Gibco, Grand Island, NY, USA) was used to flush each individual fallopian tube. After morphological assessment under a stereomicroscope, the oocytes were denuded in 0.5% (W/V) hyaluronidase solution (Sigma, St. Louis, MO, USA) and stained with 5 �g/mL bisbenzimide (Sigma). Nuclear status was then observed under ultraviolet light. Based on the nuclear stage, cumulus cell layers, color, and homogeneity of ooplasm, the oocytes were categorized as good, fair, poor, immature, or aged. The good and fair oocytes were considered usable and poor, aged, and immature oocytes were considered unusable for ART. In vivo-matured oocytes can be collected all year around by flushing fallopian tubes. A significantly higher average number of oocytes per bitch were observed during the spring (11.21 � 0.56), compared to the other seasons (7.88 � 0.63 to 9.27 � 0.35) (P < 0.05). A comparatively higher percentage of usable oocytes were collected during autumn. The percentage of oocyte recovery was 74.67, 67.51, 71.57, and 62.70 for autumn, spring, summer, and winter, respectively (P > 0.05). Both the number and the quality of oocytes were influenced by the parity of the donor bitch. Significantly more oocytes were collected from the multiparous bitches compared to nulliparous bitches (10.4 � 0.54 and 7.7 � 0.86, respectively). The percentage of usable oocytes was larger in multiparous bitches compared to nulliparous (70.75 and 64.74, respectively) (P > 0.05). Collection of in vivo-produced oocytes could be a potential source of matured oocytes for ART in canine.


2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Delphine Haouzi ◽  
Laurence Bissonnette ◽  
Anna Gala ◽  
Said Assou ◽  
Frida Entezami ◽  
...  

The impact of a premature elevation of serum progesterone level, the day of hCG administration in patients under controlled ovarian stimulation during IVF procedure, on human endometrial receptivity is still debated. In the present study, we investigated the endometrial gene expression profile shifts during the prereceptive and receptive secretory stage in patients with normal and elevated serum progesterone level on the day of hCG administration in fifteen patients under stimulated cycles. Then, specific biomarkers of endometrial receptivity in these two groups of patients were tested. Endometrial biopsies were performed on oocyte retrieval day and on day 3 of embryo transfer, respectively, for each patient. Samples were analysed using DNA microarrays and qRT-PCR. The endometrial gene expression shift from the prereceptive to the receptive stage was altered in patients with high serum progesterone level (>1.5 ng/mL) on hCG day, suggesting accelerated endometrial maturation during the periovulation period. This was confirmed by the functional annotation of the differentially expressed genes as it showed downregulation of cell cycle-related genes. Conversely, the profile of endometrial receptivity was comparable in both groups. Premature progesterone rise alters the endometrial gene expression shift between the prereceptive and the receptive stage but does not affect endometrial receptivity.


1997 ◽  
Vol 67 (3) ◽  
pp. 521-526 ◽  
Author(s):  
Filippo Ubaldi ◽  
Claire Bourgain ◽  
Herman Tournaye ◽  
Johan Smitz ◽  
André Van Steirteghem ◽  
...  

MedPharmRes ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 5-20
Author(s):  
Vu Ho ◽  
Toan Pham ◽  
Tuong Ho ◽  
Lan Vuong

IVF carries a considerable physical, emotional and financial burden. Therefore, it would be useful to be able to predict the likelihood of success for each couple. The aim of this retrospective cohort study was to develop a prediction model to estimate the probability of a live birth at 12 months after one completed IVF cycle (all fresh and frozen embryo transfers from the same oocyte retrieval). We analyzed data collected from 2600 women undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) at a single center in Vietnam between April 2014 and December 2015. All patients received gonadotropin-releasing hormone (GnRH) antagonist stimulation, followed by fresh and/or frozen embryo transfer (FET) on Day 3. Using Cox regression analysis, five predictive factors were identified: female age, total dose of recombinant follicle stimulating hormone used, type of trigger, fresh or FET during the first transfer, and number of subsequent FET after the first transfer. The area under the receiver operating characteristics curve for the final model was 0.63 (95% confidence interval [CI] 0.60‒0.65) and 0.60 (95% CI 0.57‒0.63) for the validation cohort. There was no significant difference between the predicted and observed probabilities of live birth (Hosmer-Lemeshow test, p > 0.05). The model developed had similar discrimination to existing models and could be implemented in clinical practice.


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