Yıl: 2022 Cilt: 28 Sayı: 1 Sayfa Aralığı: 50 - 55 Metin Dili: İngilizce DOI: 10.21613/GORM.2020.1122 İndeks Tarihi: 08-06-2022

Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes

Öz:
OBJECTIVE: In frozen-thawed embryo transfer cycles, preparing a synchronous endometrium for the embryo is essential. The aim of this study is to provide individualized luteal support in hormonally replaced frozen-thawed embryo transfer cycles and to evaluate mid-luteal serum progesterone levels and pregnancy outcomes. STUDY DESIGN: In this prospective cohort study, 30 patients were included in a university hospital in a six month period. Serum progesterone level on embryo transfer day was monitored, and if it was found to be below the lower limits defined by previous studies (10 ng/mL), additional 100 mg intramuscular micronized progesterone was administered once. Mid-luteal progesterone levels and pregnancy outcomes were recorded. RESULTS: There was no significant difference between mid-luteal progesterone levels of the patients whose transfer day progesterone was above and below 10 ng/mL (p=0.481). Although the clinical pregnancy rate tended to be higher in patients whose mid-luteal progesterone was above 10 ng/mL, it was also not statistically significant. CONCLUSION: This is the first study in which vaginal progesterone treatment was supported by intramuscular progesterone according to serum progesterone values for the purpose of individualized progesterone support. A significant difference was not found in pregnancy outcomes. However, further studies are required to optimize management and improve pregnancy rates in hormonally treated frozen-thawed embryo transfer cycles.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Mackens S, Santos-Ribeiro S, van de Vijver A, Racca A, Landuyt LV, Tournaye H, et al. Frozen embryo transfer: a review on the optimal endometrial preparation and timing. Hum Reprod. 2017;32(11):2234-42. Doi: 10.1093/humrep/dex285 .
  • 2. Yovich JL, Conceicao JL, Stanger JD, Hinchliffe PM, Keane KN. Mid-luteal serum progesterone concentrations govern implantation rates for cryopreserved embryo transfers conducted under hormone replacement. Reprod BioMed Online. 2015;31(2):180-91. Doi: 10.1016/j.rbmo. 2015.05.005.
  • 3. Alsbjerg B, Thomsen L, Elbaek HO, Laursen R, Povlsen BB, Haahr T, et al. Progesterone levels on pregnancy test day after hormone replacement therapy-cryopreserved embryo transfer cycles and related reproductive outcomes. Reprod Biomed Online. 2018;37(5):641-7. Doi: 10.1016/ j.rbmo.2018.08.022.
  • 4. Labarta E, Mariani G, Holtmann N, Celada P, Remohi J, Bosch E. Low serum progesterone on the day of embryo transfer is associated with a diminished ongoing pregnancy rate in oocyte donation cycles after artificial endometrial preparation: a prospective study. Hum Reprod. 2017;32(12):2437-42. Doi: 10.1093/humrep/dex316.
  • 5. Thomsen LH, Kesmodel US, Erb K, Bungum L, Pedersen D, Hauge B, et al. The impact of luteal serum progesterone levels on live birth rates - a prospective study of 602 IVF/ICSI cycles. Hum Reprod. 2018;33(8):1506-16. Doi: 10.1093/humrep/dey226.
  • 6. Shapiro DB, Pappadakis JA, Ellsworth NM, Hait HI, Nagy ZP. Progesteron replacement with vaginal gel versus i.m. injection: cycle and pregnancy outcomes in IVF patients receiving vitrified blastocysts. Hum Reprod. 2014;29(8):1706-11. Doi: 10.1093/humrep/deu121.
  • 7. Berger BM, Phillips JA. Pregnancy outcomes in oocyte donation recipients: vaginal gel versus intramuscular injection progesterone replacement. J Assist Reprod Genet. 2012;29(3):237-42. Doi: 10.1007/s10815-011-9691-9.
  • 8. Devine K, Richter KS, Widra EA, McKeeby JL. Vitrified blastocyst transfer cycles with the use of only vaginal progesterone replacement with Endometrin have inferior ongoing pregnancy rates: results from the planned interim analysis of a three-arm randomized controlled noninferiority trial. Fertil Steril. 2018;109(2):266-75. Doi: 10.1016/j.fertnstert.2017.11.004.
  • 9. Cedrin-Durnerin I, Isnard T, Mahdjoub S, Sonigo C, Seroka A, Comtet M, et al. Serum progesterone concentration and live birth rate in frozen-thawed embryo transfers with hormonally prepared endometrium. Reprod Biomed Online. 2019;38(3):472-80. Doi: 10.1016/j. rbmo. 2018.11.026.
  • 10. Gaggiotti-Marre S, Martinez F, Coll L. Garcia S. Alvarez M, Parriego M, et al. Low serum progesterone the day prior to frozen embryo transfer of euploid embryos is associated with significant reduction in live birth rates. Gynecol Endocrinol. 2019;35(5):439-42. Doi: 10.1080/ 09513590.2018.
  • 11. Labarta E. A Modern Approach to Progesterone Supplementation. EMJ Repro Health. 2019;5(1):34-7.
  • 12. Labarta Demur E. The artificial endometrial preparation for embryo transfer: The litmus test for a sex steroid regimen? Abstract O-146. 35th Annual ESHRE Meeting, 24- 26 June, 2019.
  • 13. Toth TL, Vaughan DA. Optimizing luteal support in frozen embryo transfer cycles. Fertil Steril. 2018;109(2): 242-3. Doi: 10.1016/j.fertnstert.2017.12.008.
  • 14. Merriam KS, Leake KA, Elliot M, Matthews ML, Usadi RS, Hurst BS. Sexual absorption of vaginal progesterone: a randomized control trial. Int J Endocrinol. 2015;2015: 685281. Doi: 10.1155/2015/685281.
  • 15. Feinberg EC, Beltsos AN, Nicolaou E, Marut EL, Uhler ML. Endometrin as luteal phase support in assisted reproduction. Fertil Steril. 2013;99(1):174-8. Doi: 10.1016/j.f ertnstert.2012.09.019.
  • 16. Michnova L, Dostal J, Kudela M, Hamal P, Langova K. Vaginal use of micronized progesterone for luteal support. A randomized study comparing Utrogestan® and Crinone® 8. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2017;161(1):86-91. Doi: 10.5507/bp.2017.007.
  • 17. Paulson RJ, Collins MG, Yankov VI. Progesterone Pharmacokinetics and Pharmacodynamics with 3 dosages and 2 regimens of an effervescent micronized progesterone vaginal insert. J Clin Endocrinol Metab. 2014;99(11):4241-9. Doi: 10.1210/jc.2013-3937.
APA Doğan Durdağ G, bektas g, türkyılmaz e, Göktepe H, Sonmezer M, Şükür Y, Ozmen B, Atabekoğlu C, Sönmezer M (2022). Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. , 50 - 55. 10.21613/GORM.2020.1122
Chicago Doğan Durdağ Gülşen,bektas gizem,türkyılmaz esengül,Göktepe Halime,Sonmezer Meltem,Şükür Yavuz Emre,Ozmen Batuhan,Atabekoğlu Cem Somer,Sönmezer Murat Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. (2022): 50 - 55. 10.21613/GORM.2020.1122
MLA Doğan Durdağ Gülşen,bektas gizem,türkyılmaz esengül,Göktepe Halime,Sonmezer Meltem,Şükür Yavuz Emre,Ozmen Batuhan,Atabekoğlu Cem Somer,Sönmezer Murat Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. , 2022, ss.50 - 55. 10.21613/GORM.2020.1122
AMA Doğan Durdağ G,bektas g,türkyılmaz e,Göktepe H,Sonmezer M,Şükür Y,Ozmen B,Atabekoğlu C,Sönmezer M Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. . 2022; 50 - 55. 10.21613/GORM.2020.1122
Vancouver Doğan Durdağ G,bektas g,türkyılmaz e,Göktepe H,Sonmezer M,Şükür Y,Ozmen B,Atabekoğlu C,Sönmezer M Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. . 2022; 50 - 55. 10.21613/GORM.2020.1122
IEEE Doğan Durdağ G,bektas g,türkyılmaz e,Göktepe H,Sonmezer M,Şükür Y,Ozmen B,Atabekoğlu C,Sönmezer M "Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes." , ss.50 - 55, 2022. 10.21613/GORM.2020.1122
ISNAD Doğan Durdağ, Gülşen vd. "Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes". (2022), 50-55. https://doi.org/10.21613/GORM.2020.1122
APA Doğan Durdağ G, bektas g, türkyılmaz e, Göktepe H, Sonmezer M, Şükür Y, Ozmen B, Atabekoğlu C, Sönmezer M (2022). Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. GORM:Gynecology Obstetrics & Reproductive Medicine, 28(1), 50 - 55. 10.21613/GORM.2020.1122
Chicago Doğan Durdağ Gülşen,bektas gizem,türkyılmaz esengül,Göktepe Halime,Sonmezer Meltem,Şükür Yavuz Emre,Ozmen Batuhan,Atabekoğlu Cem Somer,Sönmezer Murat Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. GORM:Gynecology Obstetrics & Reproductive Medicine 28, no.1 (2022): 50 - 55. 10.21613/GORM.2020.1122
MLA Doğan Durdağ Gülşen,bektas gizem,türkyılmaz esengül,Göktepe Halime,Sonmezer Meltem,Şükür Yavuz Emre,Ozmen Batuhan,Atabekoğlu Cem Somer,Sönmezer Murat Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.28, no.1, 2022, ss.50 - 55. 10.21613/GORM.2020.1122
AMA Doğan Durdağ G,bektas g,türkyılmaz e,Göktepe H,Sonmezer M,Şükür Y,Ozmen B,Atabekoğlu C,Sönmezer M Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. GORM:Gynecology Obstetrics & Reproductive Medicine. 2022; 28(1): 50 - 55. 10.21613/GORM.2020.1122
Vancouver Doğan Durdağ G,bektas g,türkyılmaz e,Göktepe H,Sonmezer M,Şükür Y,Ozmen B,Atabekoğlu C,Sönmezer M Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes. GORM:Gynecology Obstetrics & Reproductive Medicine. 2022; 28(1): 50 - 55. 10.21613/GORM.2020.1122
IEEE Doğan Durdağ G,bektas g,türkyılmaz e,Göktepe H,Sonmezer M,Şükür Y,Ozmen B,Atabekoğlu C,Sönmezer M "Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes." GORM:Gynecology Obstetrics & Reproductive Medicine, 28, ss.50 - 55, 2022. 10.21613/GORM.2020.1122
ISNAD Doğan Durdağ, Gülşen vd. "Effect of Individualized Progesterone Supplementation for Luteal Support in Frozen-Thawed Cycles on Pregnancy Outcomes". GORM:Gynecology Obstetrics & Reproductive Medicine 28/1 (2022), 50-55. https://doi.org/10.21613/GORM.2020.1122