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hCG day progesterone level has no impact on the frozen thawed embryo transfer cycle outcome

Khadijeh Pouya, Yavuz Emre Sukur, Gular Israfilova, Batuhan Ozmen, Murat Sonmezer, Bulent Berker, Cem Somer Atabekoglu, Rusen Aytac

Journal of Gynecology Obstetrics and Human Reproduction(2021)

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Abstract
Objective: To assess the association between hCG day progesterone levels and subsequent frozen-thawed embryo transfer (FET) cycle outcome in infertile women with and without polycystic ovary syndrome (PCOS). Method: Data of 178 women who underwent FET at a university-based infertility clinic between January 2016 and December 2019 were reviewed. The study group consisted of women who had progesterone elevation (PE) during fresh controlled ovarian stimulation (COS) cycle. A sub-group analysis was also performed in PCOS and non-PCOS patients. Results: There were no differences in clinical pregnancy (47.7 % vs. 50.7 %, p = 0.729), miscarriage (15.9 % vs. 22.4 %, p = 0.359), and live birth rates (27.3 % vs. 23.9 %, p = 0.652) following FET between women with and without PE in the fresh cycle. The results remained non-significant regarding the clinical pregnancy (46.7 % vs. 53.4 %, p = 0.549), miscarriage (13.3 % vs. 27.6 %, p = 0.133), and live birth rates (26.7 % vs. 19.0 %, p = 0.408) in participants with PCOS (n = 88). Conclusion: hCG day progesterone level in the fresh COS cycle does not have a significant impact on the subsequent FET cycle neither in PCOS nor in non-PCOS women. (C) 2021 Published by Elsevier Masson SAS.
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Key words
Frozen-thawed embryo transfer,In vitro fertilization,Controlled ovarian stimulation,Progesterone elevation
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