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人绒毛膜促性腺激素给药当天孕酮升高会损害第3天单胚胎移植的妊娠结局,而对第5天单囊胚移植没有影响。

Progesterone rise on the day of human chorionic gonadotropin administration impairs pregnancy outcome in day 3 single-embryo transfer, while has no effect on day 5 single blastocyst transfer.

作者信息

Papanikolaou Evangelos G, Kolibianakis Efstratios M, Pozzobon Cristina, Tank Parikshit, Tournaye Herman, Bourgain Claire, Van Steirteghem Andre, Devroey Paul

机构信息

Centre for Reproductive Medicine, University Hospital, Vrije Univestiteit Brussel, Free University of Brussels, Brussels, Belgium.

出版信息

Fertil Steril. 2009 Mar;91(3):949-52. doi: 10.1016/j.fertnstert.2006.12.064. Epub 2007 Jun 6.

DOI:10.1016/j.fertnstert.2006.12.064
PMID:17555751
Abstract

Four hundred eighty-two patients undergoing single ET with GnRH-antagonist/recFSH protocol were analyzed. The incidence of premature luteinization (P above 1.5 ng/mL on the day of hCG administration) was 18.2%. Even modest rises of P in the follicular phase have detrimental effect on the implantation potential of a good-quality cleavage stage embryo. On the contrary, premature luteinization in the blastocyst subgroup had no effect on the pregnancy outcome.

摘要

对482例行单次胚胎移植且采用促性腺激素释放激素拮抗剂/重组促卵泡素方案的患者进行了分析。过早黄素化(人绒毛膜促性腺激素给药当天孕酮高于1.5 ng/mL)的发生率为18.2%。即使在卵泡期孕酮有适度升高也会对优质卵裂期胚胎的着床潜力产生不利影响。相反,胚泡亚组中的过早黄素化对妊娠结局没有影响。

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