Intrauterine Microbiota During IVF in Patients Affected With Isthmocele.
Study Details
Study Description
Brief Summary
To evaluate the endometrial and isthmic microbiota in patients with isthmocele after C-Section, and if this microbiota is similar or not with better reproductive outcomes.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
A total of 45 subjects undergoing in vitro fertilization treatment. Fifteen patients without isthmocele will be included in the control group and 30 patients affected with isthmocele in the other group, divided in 2 subgroups: 15 with 1 previous C-Section, and 15 with 2 or more previous C-Section. Paired samples of endometrial fluid (EF) and isthmic fluid (IF) will be obtained simultaneously the day of egg retrieval. Patients will follow a protocol for all-freezing embryos or oocytes.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Control group Fifteen patients without isthmocele |
Diagnostic Test: ultrasound
All the patients will have a transvaginal ultrasound evaluation during the first visit to the clinic to evaluate the presence or not of isthmocele.
Other Names:
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Study subgroup1 15 patients with 1 previous C-Section |
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Study subgroup2 15 patients with 2 or more previous C-Section. |
Diagnostic Test: ultrasound
All the patients will have a transvaginal ultrasound evaluation during the first visit to the clinic to evaluate the presence or not of isthmocele.
Other Names:
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Outcome Measures
Primary Outcome Measures
- If the intrauterine microbiota profile in patients affected with isthmocele differs from the one found in patients without isthmocele. [1year]
patients undergoing in vitro fertilization treatment
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients with isthmocele:
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Patients performing IVF treatment with a planned cycle segmentation and consecutive frozen embryo transfer on a hormone replacement therapy (HRT) cycle or natural cycle.
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Age between 18 - 45 years all (both inclusive).
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One or multiple C-sections.
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Isthmocele present during TV scan.
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BMI: 18,5 - 35 kg / m2 (both inclusive).
- Patients without isthmocele:
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Patients performing IVF treatment with planned cycle segmentation and who would have embryo transfer with frozen embryos under hormone replacement therapy.
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NO Isthmocele present during transvaginal ultrasound.
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BMI: 18,5 - 30 kg / m2 (both inclusive).
Exclusion Criteria:
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Age < 18 and > 45 years old.
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Previous or active endometritis.
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Patients who are IUD carriers for the last 3 months.
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Patients who have taken prescribed antibiotics in the last 3 months previous to sample collection.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | IVI Middle East Fertilty Clinic | Abu Dhabi | United Arab Emirates |
Sponsors and Collaborators
- ART Fertility Clinics LLC
Investigators
- Principal Investigator: Human Fatemi, MD, Medical Director
Study Documents (Full-Text)
None provided.More Information
Publications
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- Moreno I, Codoñer FM, Vilella F, Valbuena D, Martinez-Blanch JF, Jimenez-Almazán J, Alonso R, Alamá P, Remohí J, Pellicer A, Ramon D, Simon C. Evidence that the endometrial microbiota has an effect on implantation success or failure. Am J Obstet Gynecol. 2016 Dec;215(6):684-703. doi: 10.1016/j.ajog.2016.09.075. Epub 2016 Oct 4.
- Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig SS, McCulle SL, Karlebach S, Gorle R, Russell J, Tacket CO, Brotman RM, Davis CC, Ault K, Peralta L, Forney LJ. Vaginal microbiome of reproductive-age women. Proc Natl Acad Sci U S A. 2011 Mar 15;108 Suppl 1:4680-7. doi: 10.1073/pnas.1002611107. Epub 2010 Jun 3.
- Romero R, Hassan SS, Gajer P, Tarca AL, Fadrosh DW, Bieda J, Chaemsaithong P, Miranda J, Chaiworapongsa T, Ravel J. The vaginal microbiota of pregnant women who subsequently have spontaneous preterm labor and delivery and those with a normal delivery at term. Microbiome. 2014 May 27;2:18. doi: 10.1186/2049-2618-2-18. eCollection 2014.
- Sim K, Cox MJ, Wopereis H, Martin R, Knol J, Li MS, Cookson WO, Moffatt MF, Kroll JS. Improved detection of bifidobacteria with optimised 16S rRNA-gene based pyrosequencing. PLoS One. 2012;7(3):e32543. doi: 10.1371/journal.pone.0032543. Epub 2012 Mar 28.
- Sirota I, Zarek SM, Segars JH. Potential influence of the microbiome on infertility and assisted reproductive technology. Semin Reprod Med. 2014 Jan;32(1):35-42. doi: 10.1055/s-0033-1361821. Epub 2014 Jan 3. Review.
- Tower AM, Frishman GN. Cesarean scar defects: an underrecognized cause of abnormal uterine bleeding and other gynecologic complications. J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):562-72. doi: 10.1016/j.jmig.2013.03.008. Epub 2013 May 14. Review.
- Vikhareva Osser O, Valentin L. Risk factors for incomplete healing of the uterine incision after caesarean section. BJOG. 2010 Aug;117(9):1119-26. doi: 10.1111/j.1471-0528.2010.02631.x.
- 1707-ABU-065-HF