Effect of Intrauterine Injection of Human Chorionic Gonadotropin Before Embryo Transfer on Clinical Pregnancy Outcome in Repeated Implantation Failure Patients
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- clinical pregnancy rate
研究概览
简要总结
Repeated implantation failure(RIF) is a insurmountable bottleneck in assisted reproductive technology, many studies have considered that the cause of two-thirds of implant failure is the decreased endometrial receptivity. Human chorionic gonadotropin (hCG) is an early pre-plant signal molecule secreted by the embryo, it can promote endometrial proliferation, increase blood flow and promote embryonic adhesion and inhibit self-regulate apoptosis of trophoblast cells. Previous studies showed that: intrauterine injection of HCG before embryo transfer can improve clinical outcomes in IVF/Intracytoplasmic sperm injection(ICSI). But some studies found that the intrauterine injection of HCG can not significantly improve the success rate of blastocyst transfer, and the reason may be the intrauterine injection of HCG time is too late to significantly increase the implantation rate. Would ahead of intrauterine injection of HCG be more effective? Thus, the patients of repeated implantation frozen embryo cycle according to the random principle accepted two kinds of transplants ways: ①intrauterine injection of HCG before blastocyst transfer; ②blastocyst transfer. Try to understand whether intrauterine injection of HCG can significantly improve the clinical pregnancy rate of blastocyst transfer in repeated implantation failure patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 35 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •women with unexplained RIF(two to four previous embryo transfers without achieving pregnancy);
- •age<36 years;
- •frozen embryo transfer cycles
排除标准
- •polycystic ovary syndrome
- •uterine abnormalities (double uterus, bicornuate uterus, unicornuate uterus and uterine mediastinum)
- •intrauterine adhesions
- •endometriosis
- •adenomyosis
- •hydrosalpinx
- •uterine fibroids (submucosal fibroids, non-mucosal fibroids > 4 cm and / or endometrial pressure)
- •thydroid dysfunction and hyperprolactinemia
研究组 & 干预措施
HCG group
intrauterine injection of HCG before blastocyst transfer
干预措施: intrauterine injection of HCG (Drug)
结局指标
主要结局
clinical pregnancy rate
时间窗: Until 28 day after embryo transferred
clinical pregnancy rate
次要结局
- ectopic pregnancy rate(until 28 day after embryo transferred)
- spontaneous abortion rate(until 28 day after embryo transferred)
