Supplementary Material for: Intramuscular versus Vaginal Progesterone Administration in Medicated Frozen Embryo Transfer Cycles: A Randomized Clinical Trial Assessing Sub-Endometrial Contractions
Hershko Klement A.
Samara N.
Weintraub A.
Mitri F.
Bentov Y.
Chang P.
Nayot D.
Casper R.F.
10.6084/m9.figshare.5774049.v1
https://karger.figshare.com/articles/journal_contribution/Supplementary_Material_for_Intramuscular_versus_Vaginal_Progesterone_Administration_in_Medicated_Frozen_Embryo_Transfer_Cycles_A_Randomized_Clinical_Trial_Assessing_Sub-Endometrial_Contractions/5774049
<p><b><i>Objective:</i></b> The study aimed to assess whether sub-endometrial contractility is reduced by the use of intramuscular (IM) progesterone. <b><i>Design:</i></b>
This is a randomized clinical trial. Patients assigned to a medicated
day 5 frozen embryo transfer (FET) were randomly allocated to “vaginal
progesterone” or “IM progesterone”: patients randomized to the vaginal
arm were treated with 200 mg micronized progesterone 3 times daily while
patients randomized into the IM progesterone arm were treated with a
single daily injection of 50 mg progesterone in oil. The main outcome
measure was the number of sub-endometrial contractions (waves) per
minute 1 day before a blastocyst embryo transfer. <b><i>Results:</i></b>
Thirty-four patients were enrolled. The progesterone serum
concentration was significantly higher in patients using the IM
progesterone (85.2 ± 50.1 vs. 30.3 ± 11.2 nmol/L, respectively) but this
did not translate into a lower sub-endometrial contractility (2.4 ± 4.8
vs. 1.4 ± 1.1 contraction/min, respectively). Clinical pregnancy rates
were comparable between groups. The number of sub-endometrial waves was
significantly lower among pregnant patients (<i>p</i> = 0.02). <b><i>Conclusions:</i></b>
The use of IM progesterone in medicated FET cycles does not reduce the
sub-endometrial activity compared to vaginal progesterone
administration. Our data support a poor clinical pregnancy outcome with
high wave activity, regardless of the progesterone mode.</p>
2018-01-10 15:38:54
Embryo transfer
Progesterone ·
Luteal phase
Ultrasonography
Endometrium