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Technical Factors of Embryo Transfer Procedure That Might Affect the Outcome

Completed
Conditions
Pregnancy
IVF
Interventions
Device: embryo transfer catheter
Registration Number
NCT04408547
Lead Sponsor
Iakentro Fertility Centre
Brief Summary

Analysis our Embryo transfer data, prospectively collected during the last 6 years (2014- 2019), performed by the same operator YP, who has been doing embryo transfers since 1984. All factors that might impact the embryo transfer will be analyzed. We want to see which factors that influence the success rate are not related to the subjectivity of the operator and could be adjusted through different approaches.

Detailed Description

Most patients undergoing IVF or ICSI reach a blastocyst embryo transfer but less achieve pregnancy and live birth. Many reasons have been proposed to explain these results. Among them, the factor Embryo Transfer Procedure gained less of the attention since few papers have been published and most of them had a lot of biases. In order to eliminate possible biases, we wanted to analyze our Embryo transfer data, prospectively collected during the last 6 years (2014- 2019), performed by the same operator YP, who has been doing embryo transfers since 1984. All factors that might impact the embryo transfer will be analyzed. We want to see which factors that influence the success rate are not related to the subjectivity of the operator and could be adjusted through different approaches.

Primary outcomes: bhCG positive rate, pregnancy rate, ongoing pregnancy rate, live birth rate.

Secondary outcomes: Full bladder, uterine ax orientation, Endometrial thickness, type of catheter, straightforward advancement of the preloaded catheter, use of a stiffer hard catheter to pass through the cervix and the orifice, the site of the uterine cavity that the embryo was released, single or double transfer due to blocked embryo in the catheter.

In addition for each embryo transfer variables that may influence the pregnancy rates will be collected: age of the woman, number of oocytes harvested, sperm characteristics, fertilization rate, stage and grade of the embryos the day of transfer

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
3512
Inclusion Criteria
  • Women undergoing embryo transfer after IVF
Exclusion Criteria
  • Women with known embryo implantation issues

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
soft catheterembryo transfer catheterPatients who underwent embryo transfer with a soft catheter
stiff catheterembryo transfer catheterPatients who underwent embryo transfer with a stiff catheter because soft couldn't pass
Primary Outcome Measures
NameTimeMethod
Number of patients with bhCG positive test after embryo transferNumber of patients bhCG positive up to12 days after embryo transfer

Number of patients bhCG positive up to12 days after embryo transfer

Number of patients with on going clinical pregnancyNumber of patients with on going clinical pregnancy up to 12 weeks after embryo transfer

Number of patients with on going clinical pregnancy up to12 weeks after embryo transfer

Number of live births after embryo transferNumber oflive birth up to 9 months after embryo transfer

Number oflive birth up to9 months after embryo transfer

Secondary Outcome Measures
NameTimeMethod
Type of embryo transfer catheterAt the time of embryo transfer and the impact of pregnancy test result 12 days after the mebryo transfer

Type of embryo transfer catheter used in the procedure

Percentage of fullnes of bladderAt the time of embryo transfer and the impact of pregnancy test result 12 days after the mebryo transfer

Percentage of fullness of the bladder during embryo transfer

Endometrial thicknessprior to embryo transfer

Endometrial thickness prior to embryo transfer

Uterine axe orientationAt the time of embryo transfer and the impact of pregnancy test result 12 days after the mebryo transfer

Uterine axe orientation during embryo transfer

Embryo retained in the catheterNumber of patients who underwent embryo transfer and the embryo was retained in the catheter at the time of embryo transfer and the impact of pregnancy test result 12 days after the mebryo transfer

Embryo retained in the catheter

Distance from the fundus of the embryo releaseAt the time of embryo transfer and the impact of pregnancy test result 12 days after the mebryo transfer

Distance from the fundus of the embryo release

Trial Locations

Locations (1)

IAKENTRO Fertility Center

🇬🇷

Thessaloniki, Greece

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