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Synchronizing Blastocyst in Frozen Embryo Transfer

Not Applicable
Completed
Conditions
Embryo Implantation
Interventions
Other: synchronizing blastocysts
Registration Number
NCT03128970
Lead Sponsor
Al-Yasmeen Fertility and Gynecology Center
Brief Summary

The aim of the present study is to determine if implantation rate could be increased in women undergoing frozen embryo transfer cycles in case of adjusting their embryo development at hatching stage.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
742
Inclusion Criteria
  1. Patients who will agree to participate and assign an informed consent form
  2. Only blastocyst transfer FET cycles
  3. Patients undergoing FET after their 1st IVF or ICSI cycle with no pregnancy at the fresh transfer
  4. Freeze-all cycles due to OHSS
  5. Freeze-all cycles due to poor endometrium
  6. Age 19-33 at the time of randomization.
  7. Their frozen blastocysts are 3 or less grade of expansion.
  8. Female with a ≥12 AFCs
  9. Endometrial thickness ≥ 8mm at the time of ovulation
  10. Women with their male partners will give only fresh semen
  11. Women who have no uterine abnormality by ultrasound
  12. BMI ≤ 31
Exclusion Criteria
  1. Cycles undergoing preimplantation genetic diagnosis.
  2. Women who have previous two cycles of implantation failure at fresh transfer
  3. Women who have previous two FET failed cycles
  4. Any uterine pathology (myomas, adenomyosis, endocrinopathies, thrombophilia, chronic pathologies, acquired or congenital uterine abnormalities)
  5. Patients with severe endometriosis
  6. Presence of uni- or bilateral hydrosalpinx
  7. Recurrent pregnancy loss.
  8. Any medical condition that affect fertility.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
synchronized frozen/thawed hatching blastocystssynchronizing blastocystsblastocyst thawing (with three or less grade of expansion) will take place the day before embryo transfer in order to reach hatching stage
Primary Outcome Measures
NameTimeMethod
Ongoing implantation rate12 weeks

ultrasound detection of ongoing gestational sacs with heartbeats after 12 weeks of gestation per transferred embryos

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Ganna Fertility and Gynecology Center

🇪🇬

Cairo, Egypt

Al-Yasmeen fertility and gynecology center

🇪🇬

Banhā, Egypt

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