Journals / Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi / 2018 / Cilt: 15 - Sayı: 4

To Which Patients Should Intrauterine HCG Injection Be Applied In In Vitro Fertilization?

ntrauterin HCG Enjeksiyonu IVF' te Hangi Hastalara Uygulanmalıdır?

Pages
159–163
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

IntrauterinehCG injection was performed before ET in the study groups.Results: The pregnancy, clinical pregnancy and implantation rates weresignificantly increased in the intrauterine hCG injected patients with thirdor more IVF cycles (p= 0.03, p= 0.02, p= 0.02) respectively.Conclusion: The intrauterine hCG injection improved the pregnancy ratesin the patient with recurrent IVF failures.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To investigate the impact of the intrauterine injection of hCG before embryo transfer in in vitro fertilization (IVF) according to number oftransfer.Material And Methods: One hundred and sixty-eight (168) patients wereincluded to the study group; 274 patients were included to the controlgroup.
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Key Findings & Data:The patients were divided into 2 study and 2 control groups.Group 1:Study group patients in the first and the second IVF cycles.(N=126)Group 2:Control group patients in the first and the second IVF cycles.(N=189)Group 3:Study group patients in the third or more IVF cycles. (N=42)Group 4:Control group patients in the third or more IVF cycles. (N=85)Fresh IVF-embryo transfer (ET) was performed to all patients.
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Conclusion & Impact:IntrauterinehCG injection was performed before ET in the study groups.Results: The pregnancy, clinical pregnancy and implantation rates weresignificantly increased in the intrauterine hCG injected patients with thirdor more IVF cycles (p= 0.03, p= 0.02, p= 0.02) respectively.Conclusion: The intrauterine hCG injection improved the pregnancy ratesin the patient with recurrent IVF failures.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: To investigate the impact of the intrauterine injection of hCG before embryo transfer in in vitro fertilization (IVF) according to number oftransfer.Material And Methods: One hundred and sixty-eight (168) patients wereincluded to the study group; 274 patients were included to the controlgroup. The patients were divided into 2 study and 2 control groups.Group 1:Study group patients in the first and the second IVF cycles.(N=126)Group 2:Control group patients in the first and the second IVF cycles.(N=189)Group 3:Study group patients in the third or more IVF cycles. (N=42)Group 4:Control group patients in the third or more IVF cycles. (N=85)Fresh IVF-embryo transfer (ET) was performed to all patients. IntrauterinehCG injection was performed before ET in the study groups.Results: The pregnancy, clinical pregnancy and implantation rates weresignificantly increased in the intrauterine hCG injected patients with thirdor more IVF cycles (p= 0.03, p= 0.02, p= 0.02) respectively.Conclusion: The intrauterine hCG injection improved the pregnancy ratesin the patient with recurrent IVF failures.

Özet

Amaç: İn vitro fertilizasyon (IVF) tedavisinde embryo transferinden önce yapılan intrauterin human chorionic gonadothropin enjeksiyonlarının etkisinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Yüz atmış sekiz hasta çalışma grubuna alındı. 274 hasta ise kontrol grubuna dahil edildi. Hasta grupları kendi içinde de ikiye ayrıldı. Grup 1: Birinci ve ikinci IVF denemesi olan çalışma grubu hastaları (N:126) Grup 2: Birinci ve ikinci IVF denemesi olan control grubu hastaları (N:189) Grup 3: Üç veya daha fazla IVF denemesi olan çalışma grubu hastaları (N:42) Grup 4: Üç veya daha fazla IVF denemesi olan control grubu hastaları. (N:85). Tüm hastalara taze embryo transferi (ET) yapıldı. Çalışma grubuna ET öncesi intrauterine hcg enjeksiyonu uygulandı. Bulgular: Üç veya daha fazla sayıda IVF uygulaması yapılmış hastalarda gebelik , klinik gebelik ve implantasyon oranları intrauterine hCG enjekte edilenlerde belirgin düzeyde yüksek çıkmıştır. (p=0,03, p=0,02, p=0,02 sırasıyla) Sonuç: Intrauterin hCG enjeksiyonu tekrarlayan IVF başarısızlığı olan hastalarda gebelik oranlarını iyileştirmektedir.

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Cite This Article

ÖZÇİMEN, N., GÜRBÜZ, A. S., ÖZÇİMEN, E. E. (2022). To Which Patients Should Intrauterine HCG Injection Be Applied In In Vitro Fertilization?. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, Cilt: 15 - Sayı: 4, 159–163. https://ajindex.com/articles/558691

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References (13)

  1. TeVelde ER, Eijkemans R, Habbema HD. Variation in couple fecundity and time to pregnancy, an essential concept in human reproduction. Lancet 2000; 355: 1928-1929. Psychoyos A. Uterine receptivity for nidation. Ann NY Acad Sci 1986; 476:36-42.
  2. Teles A, Zenclussen AC. How Cells of the Immune System Prepare the Endometrium for Implantation. Semin Reprod Med 2014;32(5)358-64
  3. Irwin JC, Kirk D, King RJ, Quigley MM, Gwatkin RB. Hormonal regulation of human endometrial stromal cells in culture: an in vitro model for decidualization. Fertil Steril 1989; 52(5): 761-768.
  4. Huang JR, Tseng L, Bischof P, Janne OA. Regulation of prolactin production by progestin, estrogen and relaxin in human endometrial stromal cells. Endocrinology 1987; 121(6): 2011-2017.
  5. Tang B, Gurpide E. Direct effect of gonadotropins on decidualization of human endometrial stromal cells. J Steroid Biochem Mol Biol 1993; 47(1-6):115-21.
  6. Tang B, Guller S, Gurpide E. Cyclic adenosine 3‘, 5‘-monophosphate induces prolactin expression in stromal cells isolated from human proliferative endometrium. Endoc 1993; 133(5): 2197-2203.
  7. Kasahara K, Takakura K, Takebayashi K, Kimura F, Nakanishi K, Noda Y. The role of human chorionic gonadotropin on decidualization of endometrial stromal cells in vitro. J Clin Endoc Metab 2001; 86(3):1281-1286.
  8. Licht P, Fluhr H, Neuwinger J, Wallwiener D, Wildt L. Is human chorionic gonadotropin directly involved in the regulation of human implantation? Mol Cell Endoc 2007; 269(1-2): 85-92.
  9. Tsampalas M, Gridelet V, Berndt S, et al. Human chorionic gonadotropin: a hormone with immunological and angiogenic properties. J Reprod ımmunol 2010; 85: 93-98.
  10. Bonduelle ML, Dodd R, Liebaers I, Van Steirteghem A, williamson R, Akhurst R. Chorionic gonadotropin-beta mRNA, a trophoblast marker, is expressed in human 8-cell embryos derived from tripronucleate zygotes. Hum Reprod 1988; 3: 909-914.
  11. Lopata A, Hay DL. The potential of early human embryos to form blastocysts, hatch from their zona and secrete hCG in culture. Hum Reprod 1989; 4 (8 Suppl): 87-94.
  12. Fazleabas AT, Donnelly KM, Srinivasan S, Fortman JD, Miller JB. Modulation oft he baboon uterine endometrium by chorionic gonadotropin during the period of uterine receptivity. Proc Natl Acad Sci 1999; 96: 2543-2548.
  13. Akoum A, Metz CN, Morin M. Marked increase in macrophage migration inhibitory factor synthesis and secretion in human endometrial cells in response to human chorionic gonadotropin hormone. J Clin Endoc Metab 2005; 90: 2904-2910.