Injection of Hormone to Enhance Implantation in Embryo Transfer After IVF
Study Details
Study Description
Brief Summary
The endometrium is deprived of signals form the embryo in IVF conditions. Studies suggest that placing HCG into the uterus prior to embryo transfer can enhance implantation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
The study is in pilot phase, uncontrolled. The risks appear to be minimal and there are conflicting new reports being announced.
A small amount of fluid with HCG is injected into the uterus. HCG is a potent signal to the uterus for preparation for implantation.
This is not a funded study. Three published studies suggest the approach is valid; one refutes the concept.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: HCG is introduced with small catheter. phase 1 non randomized pilot |
Drug: HCG is introduced
must have good blastocysts
Other Names:
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Outcome Measures
Primary Outcome Measures
- HCG enhances pregnancy rate [9 months.]
compare pregnancy rates to established clinical norms.
Secondary Outcome Measures
- implantation rate [18 months]
compare implantation rate per embryo to clinical norms.
- ongoing pregnancy rate [22 months]
compare success to clinical norms
Eligibility Criteria
Criteria
Inclusion Criteria:
- infertility patients undergoing IVF with good expectation of two embryos day 3 or day 5. must speak and read English. Includes donor eggs.
Exclusion Criteria:abnormal uterus
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Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Servy Massey Fertility Insititute | Atlanta | Georgia | United States | 30327 |
Sponsors and Collaborators
- Servy Massey Fertility Insititute
Investigators
- Study Chair: Joe B Massey, MD, Servy Massey Fertilty Institute
Study Documents (Full-Text)
None provided.More Information
Publications
- Hong KH, Forman EJ, Werner MD, Upham KM, Gumeny CL, Winslow AD, Kim TJ, Scott RT Jr. Endometrial infusion of human chorionic gonadotropin at the time of blastocyst embryo transfer does not impact clinical outcomes: a randomized, double-blind, placebo-controlled trial. Fertil Steril. 2014 Dec;102(6):1591-5.e2. doi: 10.1016/j.fertnstert.2014.08.006. Epub 2014 Sep 16.
- Mansour R, Tawab N, Kamal O, El-Faissal Y, Serour A, Aboulghar M, Serour G. Intrauterine injection of human chorionic gonadotropin before embryo transfer significantly improves the implantation and pregnancy rates in in vitro fertilization/intracytoplasmic sperm injection: a prospective randomized study. Fertil Steril. 2011 Dec;96(6):1370-1374.e1. doi: 10.1016/j.fertnstert.2011.09.044. Epub 2011 Nov 1.
- Santibañez A, García J, Pashkova O, Colín O, Castellanos G, Sánchez AP, De la Jara JF. Effect of intrauterine injection of human chorionic gonadotropin before embryo transfer on clinical pregnancy rates from in vitro fertilisation cycles: a prospective study. Reprod Biol Endocrinol. 2014 Jan 29;12:9. doi: 10.1186/1477-7827-12-9.
- Zarei A, Parsanezhad ME, Younesi M, Alborzi S, Zolghadri J, Samsami A, Amooee S, Aramesh S. Intrauterine administration of recombinant human chorionic gonadotropin before embryo transfer on outcome of in vitro fertilization/ intracytoplasmic sperm injection: A randomized clinical trial. Iran J Reprod Med. 2014 Jan;12(1):1-6.
- HCG 2013