The prevalence of late-follicular phase progesterone elevation and impact on the ongoing pregnancy rate after fresh and frozen blastocyst transfer: Sub-study of an RCT
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The prevalence of late-follicular phase progesterone elevation and impact on the ongoing pregnancy rate after fresh and frozen blastocyst transfer : Sub-study of an RCT. / Stormlund, Sacha; Sopa, Negjyp; Lyng Forman, Julie; Zedeler, Anne; Bogstad, Jeanette; Prætorius, Lisbeth; Nielsen, Henriette Svarre; Klajnbard, Anna; Englund, Anne Lis; Ziebe, Søren; Freiesleben, Nina la Cour; Bergh, Christina; Humaidan, Peter; Nyboe Andersen, Anders; Pinborg, Anja; Løssl, Kristine.
I: Human Fertility, Bind 27, Nr. 1, 2265153, 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The prevalence of late-follicular phase progesterone elevation and impact on the ongoing pregnancy rate after fresh and frozen blastocyst transfer
T2 - Sub-study of an RCT
AU - Stormlund, Sacha
AU - Sopa, Negjyp
AU - Lyng Forman, Julie
AU - Zedeler, Anne
AU - Bogstad, Jeanette
AU - Prætorius, Lisbeth
AU - Nielsen, Henriette Svarre
AU - Klajnbard, Anna
AU - Englund, Anne Lis
AU - Ziebe, Søren
AU - Freiesleben, Nina la Cour
AU - Bergh, Christina
AU - Humaidan, Peter
AU - Nyboe Andersen, Anders
AU - Pinborg, Anja
AU - Løssl, Kristine
PY - 2024
Y1 - 2024
N2 - The effect of late-follicular phase progesterone elevation (LFPE) during ovarian stimulation on reproductive outcomes in ART treatment remains controversial, but recent studies indicate lower pregnancy rates with rising progesterone levels. This study aims to investigate the prevalence of late-follicular phase progesterone elevation (LFPE) and possible impact on ongoing pregnancy rate after fresh or frozen blastocyst transfer in a sub-study setting of a randomised controlled trial. A total of 288 women were included (n=137 and n=151 in the fresh transfer and freeze-all group, respectively). Among these 11(3.8%) had a progesterone level ≥1.5 ng/ml, and 20(6.9%) had a progesterone level ≥1.2 ng/ml on trigger day. Spline regression analysis showed no significant effect of late follicular phase progesterone levels on ongoing pregnancy. In the multivariate regression analysis (n = 312) only age, but not progesterone level on trigger day was significantly associated with ongoing pregnancy. In conclusion, in a clinical setting with moderate gonadotrophin stimulation and well-defined trigger and fresh transfer cancellation criteria, the prevalence of women with LFPE ≥1.5 ng/ml was low and did not indicate the clinical value of routine measurement of progesterone in the late follicular phase.
AB - The effect of late-follicular phase progesterone elevation (LFPE) during ovarian stimulation on reproductive outcomes in ART treatment remains controversial, but recent studies indicate lower pregnancy rates with rising progesterone levels. This study aims to investigate the prevalence of late-follicular phase progesterone elevation (LFPE) and possible impact on ongoing pregnancy rate after fresh or frozen blastocyst transfer in a sub-study setting of a randomised controlled trial. A total of 288 women were included (n=137 and n=151 in the fresh transfer and freeze-all group, respectively). Among these 11(3.8%) had a progesterone level ≥1.5 ng/ml, and 20(6.9%) had a progesterone level ≥1.2 ng/ml on trigger day. Spline regression analysis showed no significant effect of late follicular phase progesterone levels on ongoing pregnancy. In the multivariate regression analysis (n = 312) only age, but not progesterone level on trigger day was significantly associated with ongoing pregnancy. In conclusion, in a clinical setting with moderate gonadotrophin stimulation and well-defined trigger and fresh transfer cancellation criteria, the prevalence of women with LFPE ≥1.5 ng/ml was low and did not indicate the clinical value of routine measurement of progesterone in the late follicular phase.
KW - Female
KW - Humans
KW - Pregnancy
KW - Embryo Transfer
KW - Fertilization in Vitro
KW - Follicular Phase
KW - Ovulation Induction
KW - Pregnancy Rate
KW - Prevalence
KW - Progesterone
U2 - 10.1080/14647273.2023.2265153
DO - 10.1080/14647273.2023.2265153
M3 - Journal article
C2 - 38639220
VL - 27
JO - Human Fertility
JF - Human Fertility
SN - 1464-7273
IS - 1
M1 - 2265153
ER -
ID: 389841064