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Effect Of Intravenous IntralipidTherapyon Pregnancy Outcome in Women With History of Recurrent Implantation Failure Undergoing Intracytoplasmic Sperm Injection-Embryo Transfer Cycle: A Randomized Controlled Trial

Phase 2
Completed
Conditions
Infertility Due to Nonimplantation
Interventions
Registration Number
NCT03374163
Lead Sponsor
King Fahad Medical City
Brief Summary

To evaluate the effect ofempiricintralipidinfusion therapy on pregnancy outcomes in patient withunexplained recurrentimplantation failure (RIF) undergoIntracytoplasmic sperm injection (ICSI).

Detailed Description

the aim to evaluate the effect ofempiricintralipidinfusion therapy on pregnancy outcomes in patient withunexplained recurrentimplantation failure (RIF) undergoIntracytoplasmic sperm injection (ICSI).

A total of 142 patients with history of unexplained RIF3 or more cycles were included in the study. Patient were randomized into two groups, study group (n=71) and control group (n=71). The study groupreceivedintralipid 20%infusionon the day of embryo transfer (ET) and a second dose on the day of pregnancy test. The control group underwent ET without intralipidinfusion.Allpatientswereclosely monitored for any side effectsincluding allergic reactions.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
142
Inclusion Criteria
  • age < 42 years
  • BMI < 30 kg/m2
  • history of 3 or more recurrent implantation failure undergoing Intracytoplasmic Sperm Injection (ICSI ) cycle.

exclusion criteria

  • women with medical contraindications of intralipidinfusion.
  • uterine fibroid.
  • endometrial polyp.
  • endometriosis,hydrosalpinx.
  • intrauterine adhesion and uterine anomalies.
  • Women with positive thrombophilia screen.
  • diminished ovarian reserve.
  • severe male factor infertility .
  • chronic medical illnesses which may contribute in impaired chance of pregnancy .
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
treatment group who recived intralipidintralipid 20%71 patients who recived intralipid on day of embryo transfer day, pregnancy day.
Primary Outcome Measures
NameTimeMethod
pregnancy rate14 day post embryo transfer day

number of patient with positive b-hcg level 14 day post embryo transfer day.over the study population number in study period.

Secondary Outcome Measures
NameTimeMethod
miscarrage ratemiscarrage before 20 week gestation

number of patient with miscarrage over study population number in study period

live birth ratedelivery after 28 week gestation

number of patient with delivery after 28 week gestation over study population number in study period.

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