The Differences of Oocyte Maturation, Granulosa Cell Apoptosis Index Between Electroacupuncture And Sham Groups IVF
Study Details
Study Description
Brief Summary
Interventional studies compared electroacupuncture group versus sham electroacupuncture group to granulosa cell apoptosis index, oocyte maturation, GDF9 and BMP15 levels, and fertilization rate in in vitro fertilization program
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The study was conducted at the Dr.Cipto Mangunkusumo National General Hospital, Indonesia in September - November 2018.The inclusion criteria are patients who underwent controlled ovarian stimulation with antagonist protocol, age 30-39 years, BMI <29kg / m2. Exclusion criteria were not having a skin infection at acupuncture point and not using a pacemaker. Then patients were randomly divided into two groups: electroacupuncture and sham electroacupuncture. Electroacupuncture therapy was done 6 times at: 2 times before and 4 times during controlled ovarian stimulation.Apoptotic index of granulosa cells were examined by quantitative real time PCR techniques for BAX/BCL-2 expression.Oocyte maturation and fertilization rate output parameters are examined by competent embryologists after ovum pick up while GDF9 and BMP15 levels were examined by quantitative real time PCR techniques for GDF9 and BMP15 mRNA expression
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Electroacupuncture Electroacupuncture therapy is done at the point of CV3 Zhongji, CV4 Guanyuan, and EXCA-1 Zigong with continuous wave, 2 Hz frequency for 30 minutes. Acupuncture manuals on MA-IC3 endocrine (ear points), GV20 Baihui, ST36 Zusanli, SP6 Sanyinjiao, BL57 Chengsan and KI3 Taixi for 30 minutes. |
Procedure: Electroacupuncture
Electroacupuncture therapy is done at the point of CV3 Zhongji, CV4 Guanyuan, and EXCA-1 Zigong with continuous wave, 2 Hz frequency for 30 minutes. Acupuncture manuals on endocrine ear points, GV20 Baihui, ST36 Zusanli, SP6 Sanyinjiao, BL57 Chengsan and KI3 Taixi for 30 minutes.
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Sham Comparator: Sham electroacupuncture Sham electroacupuncture are done at same electroacupuncture point location but puncture are not done, also electro stimulator are turned off. |
Procedure: Electroacupuncture
Electroacupuncture therapy is done at the point of CV3 Zhongji, CV4 Guanyuan, and EXCA-1 Zigong with continuous wave, 2 Hz frequency for 30 minutes. Acupuncture manuals on endocrine ear points, GV20 Baihui, ST36 Zusanli, SP6 Sanyinjiao, BL57 Chengsan and KI3 Taixi for 30 minutes.
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Outcome Measures
Primary Outcome Measures
- Index apoptotic (Ratio Bax/Bcl-2) of granulosa cells, GDF9 and BMP15 ["up to 1 months"]
Bax/Bcl-2 is proapoptotic protein compare to antiapoptotic protein. GDF9 and BMP15 protein expression
Secondary Outcome Measures
- oocyte maturation index ["up to 1 months"]
fertilization rate is number of fertilized oocytes compared with all total number oocyte which taken when ovum pick-up. oocyte maturation index is the number of mature oocyte (metaphase II oocyte) compare with all total number oocyte which taken when ovum pick-up
- Fertilization rate ["up to 1 months"]
fertilization rate is number of fertilized oocytes compared with all total number oocyte which taken when ovum pick-up.
Eligibility Criteria
Criteria
Inclusion Criteria:
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women underwent controlled ovarian stimulation with antagonist protocol
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BMI < 29 kg/m2
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willing and sign the inform consent
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follow the research until completed
Exclusion Criteria:
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having skin infection at acupoint location
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use a pacemaker
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Indonesian University | Jakarta Pusat | DKI Jakarta | Indonesia | 10430 |
Sponsors and Collaborators
- Indonesia University
- Dr Cipto Mangunkusumo General Hospital
Investigators
- Study Chair: Christina Simadibrata, MD, Medical Acupuncture of Indonesian University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Medical Acupuncture