Frozen embryo transfer (FET) cycles have become more common in recent years due to a push towards elective single embryo transfer (SET). While it is known that progesterone supplementation during the luteal phase improves clinical pregnancy rates, there is a paucity of prospective data on the impact of serum progesterone levels on pregnancy outcomes in FET cycles. This multicentre prospective cohort study aims to investigate the association between serum progesterone levels on the day of FET and pregnancy outcomes, and to determine a serum progesterone cut-off value above which clinical pregnancy and live birth are more likely to occur. Women undergoing ART-FET cycles at CARE Fertility clinics in the UK will be recruited and their serum progesterone measured on the day of frozen embryo transfer. Follow-up data will be stored in electronic patient records and analysed to determine whether a low serum progesterone level on the day of FET adversely affects ART outcomes.
Study Type
OBSERVATIONAL
Enrollment
402
Measurement of serum progesterone on the day of FET
CARE Fertility Birmingham
Birmingham, United Kingdom
Live birth rate per participant
Birth of a live fetus at 24 or more weeks of gestational age
Time frame: 18 months
Miscarriage rate per participant and per pregnancy
Any clinical pregnancy lost before week 12 of gestation per participant (number of events/number of participants, %)
Time frame: 18 months
Implantation rates per participant
Number of gestational sacs seen in a 2D transvaginal ultrasound scan divided by the number of embryos transferred per patient (number of events/number of embryos transferred, %)
Time frame: 18 months
Biochemical pregnancy rate per participant
Positive pregnancy test following embryo transfer per participant (number of events/number of participants, %)
Time frame: 18 months
Clinical pregnancy rate per participant
Presence of at least one gestational sac on ultrasound (number of events/number of participants, %)
Time frame: 18 months
Ectopic pregnancy rate per participant
number of events/number of participants, %
Time frame: 18 months
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