MedPath

Subcutaneous Progesterone Supplementation in Patients With Endometriosis

Phase 3
Conditions
Endometriosis
Interventions
Drug: Pleyris
Registration Number
NCT02793908
Lead Sponsor
University Magna Graecia
Brief Summary

The aim of the study protocol will be to compare the efficacy of subcutaneous progesterone (25 mg / day; Pleyris, IBSA Institut Biochimique SA) with vaginal progesterone (90 mg / day; Crinone, Merck Serono) administered during the luteal phase in term of pelvic pain reduction in patients with grade I-II endometriosis and / or endometrioma \<4 cm subjected to time intercourses or COS/IUI cycles.

Detailed Description

Patients with grade I-II endometriosis and / or endometrioma \<4 cm subjected to time intercourses or COS/IUI cycles will be subjected to subcutaneous or vaginal progesterone for their luteal phase supplementation in time intercourses or IUI cycles.

The aim of the study protocol will be to compare the efficacy of subcutaneous progesterone (25 mg / day; Pleyris, IBSA Institut Biochimique SA) with vaginal progesterone (90 mg / day; Crinone, Merck Serono) administered during the luteal phase in term of pelvic pain reduction

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
52
Inclusion Criteria
  • Laparoscopic or ultrasonographic diagnosis of endometriosis grade I-II and / or endometrioma <4 cm;
  • Menstrual VAS score> 5 cm before the last menstrual period with progesterone treatment
  • Infertility for at least 1 year
  • Body Mass Index 19 to 30 kg / m2
  • Basal FSH serum <15 IU / ml
  • Normal levels of serum prolactin
  • Normal uterine cavity and fallopian patency
Exclusion Criteria
  • Previous ovarian surgery
  • Endocrine disorders (eg polycystic ovary syndrome, thyroid disease, hyperprolactinemia, hypogonadotropic hypogonadism)
  • Reduced ovarian reserve (basal levels of FSH> 15 IU / mL)
  • Acute or chronic infectious state
  • Chronic drug intake, alcohol, or drugs that affect cognitive functions, alertness and / or mood
  • Psychiatric disorders
  • Kidney or liver diseases
  • Male factor infertility

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PleyrisPleyrisSubcutaneous progesterone will be administered 25 mg a day from the day following the ovulation for 14 days
Crinone8Crinone8Vaginal progesterone will be administered 90 mg a day from the day following the ovulation for 14 days
Primary Outcome Measures
NameTimeMethod
Delta VAS pain7 days after the end of the menstrual period subsequent to the luteal supplementation

Patients will be asked to score their menstrual pain using a VAS scale

Secondary Outcome Measures
NameTimeMethod
Analgesic use7 days after the end of the menstrual period subsequent to the luteal supplementation

Patients will be asked how many vials of analgesics they needed during their menstrual period

Pregnancy rate30 days after the end of the menstrual period subsequent to the luteal supplementation

The percentage of pregnancies achieved in both arms will be assessed

Trial Locations

Locations (1)

Magna Graecia University - Azienda Ospedaliera Pugliese Ciaccio

🇮🇹

Catanzaro, CZ, Italy

© Copyright 2025. All Rights Reserved by MedPath