Follicular and luteal phase endometrial thickness and echogenic pattern and pregnancy outcome in oocyte donation cycles

Purpose To study the effect of endometrial thickness (ET) and echogenic pattern (EP) in oocyte donation cycles upon pregnancy outcomes. Methods Seventy-nine cycles resulting in blastocyst embryo transfer were evaluated. Donors underwent ovarian hyperstimulation using rFSH and GnRH-antagonist. Recipi...

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Veröffentlicht in:Journal of assisted reproduction and genetics 2009-05, Vol.26 (5), p.243-249
Hauptverfasser: Barker, Matthew A., Boehnlein, Lynn M., Kovacs, Peter, Lindheim, Steven R.
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creator Barker, Matthew A.
Boehnlein, Lynn M.
Kovacs, Peter
Lindheim, Steven R.
description Purpose To study the effect of endometrial thickness (ET) and echogenic pattern (EP) in oocyte donation cycles upon pregnancy outcomes. Methods Seventy-nine cycles resulting in blastocyst embryo transfer were evaluated. Donors underwent ovarian hyperstimulation using rFSH and GnRH-antagonist. Recipients were synchronized to donors using GnRH-agonist down-regulation followed by fixed dose of estrogen (E2) and progesterone (P4) following hCG. Transvaginal ultrasound (US) obtained ET and EP 10-11 days after initiation of E2 and on day of embryo transfer. Primary outcome was ET and EP in pregnant and non-pregnant cycles. Stimulation and embryology data was analyzed in donors to assess differences prior to transfer. Results Fifty-nine cycles resulted in clinical pregnancy. No differences were observed in pregnant vs. non-pregnant cycles in proliferative or secretory ET and EP. Similar baseline and stimulation characteristics were found in pregnant and non-pregnant cycles. Regression analysis showed end thickness were not predictive of pregnancy outcomes. Conclusions Endometrial characteristics in recipients prior to and following progesterone were not predictive of pregnancy outcomes.
doi_str_mv 10.1007/s10815-009-9312-z
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Methods Seventy-nine cycles resulting in blastocyst embryo transfer were evaluated. Donors underwent ovarian hyperstimulation using rFSH and GnRH-antagonist. Recipients were synchronized to donors using GnRH-agonist down-regulation followed by fixed dose of estrogen (E2) and progesterone (P4) following hCG. Transvaginal ultrasound (US) obtained ET and EP 10-11 days after initiation of E2 and on day of embryo transfer. Primary outcome was ET and EP in pregnant and non-pregnant cycles. Stimulation and embryology data was analyzed in donors to assess differences prior to transfer. Results Fifty-nine cycles resulted in clinical pregnancy. No differences were observed in pregnant vs. non-pregnant cycles in proliferative or secretory ET and EP. Similar baseline and stimulation characteristics were found in pregnant and non-pregnant cycles. Regression analysis showed end thickness were not predictive of pregnancy outcomes. Conclusions Endometrial characteristics in recipients prior to and following progesterone were not predictive of pregnancy outcomes.</description><identifier>ISSN: 1058-0468</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-009-9312-z</identifier><identifier>PMID: 19548081</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Assisted Reproduction ; Blastocyst - pathology ; Chorionic Gonadotropin - metabolism ; Embryos ; Endometrium ; Endometrium - pathology ; Estrogens - blood ; Female ; Follicular Phase ; Gynecology ; Human Genetics ; Humans ; In vitro fertilization ; Luteal Phase ; Medicine ; Medicine &amp; Public Health ; Obstetrics ; Oocyte Donation ; Oocytes - cytology ; Ovaries ; Ovulation Induction ; Pregnancy ; Pregnancy Outcome ; Progesterone - blood ; Reproductive Medicine ; Sperm</subject><ispartof>Journal of assisted reproduction and genetics, 2009-05, Vol.26 (5), p.243-249</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-93551c38e3e41017d5b98badd1b78c0652a72c14227ea7fc915a4b53016d455a3</citedby><cites>FETCH-LOGICAL-c498t-93551c38e3e41017d5b98badd1b78c0652a72c14227ea7fc915a4b53016d455a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719070/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719070/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19548081$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barker, Matthew A.</creatorcontrib><creatorcontrib>Boehnlein, Lynn M.</creatorcontrib><creatorcontrib>Kovacs, Peter</creatorcontrib><creatorcontrib>Lindheim, Steven R.</creatorcontrib><title>Follicular and luteal phase endometrial thickness and echogenic pattern and pregnancy outcome in oocyte donation cycles</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><addtitle>J Assist Reprod Genet</addtitle><description>Purpose To study the effect of endometrial thickness (ET) and echogenic pattern (EP) in oocyte donation cycles upon pregnancy outcomes. Methods Seventy-nine cycles resulting in blastocyst embryo transfer were evaluated. Donors underwent ovarian hyperstimulation using rFSH and GnRH-antagonist. Recipients were synchronized to donors using GnRH-agonist down-regulation followed by fixed dose of estrogen (E2) and progesterone (P4) following hCG. Transvaginal ultrasound (US) obtained ET and EP 10-11 days after initiation of E2 and on day of embryo transfer. Primary outcome was ET and EP in pregnant and non-pregnant cycles. Stimulation and embryology data was analyzed in donors to assess differences prior to transfer. Results Fifty-nine cycles resulted in clinical pregnancy. No differences were observed in pregnant vs. non-pregnant cycles in proliferative or secretory ET and EP. Similar baseline and stimulation characteristics were found in pregnant and non-pregnant cycles. Regression analysis showed end thickness were not predictive of pregnancy outcomes. 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Methods Seventy-nine cycles resulting in blastocyst embryo transfer were evaluated. Donors underwent ovarian hyperstimulation using rFSH and GnRH-antagonist. Recipients were synchronized to donors using GnRH-agonist down-regulation followed by fixed dose of estrogen (E2) and progesterone (P4) following hCG. Transvaginal ultrasound (US) obtained ET and EP 10-11 days after initiation of E2 and on day of embryo transfer. Primary outcome was ET and EP in pregnant and non-pregnant cycles. Stimulation and embryology data was analyzed in donors to assess differences prior to transfer. Results Fifty-nine cycles resulted in clinical pregnancy. No differences were observed in pregnant vs. non-pregnant cycles in proliferative or secretory ET and EP. Similar baseline and stimulation characteristics were found in pregnant and non-pregnant cycles. Regression analysis showed end thickness were not predictive of pregnancy outcomes. Conclusions Endometrial characteristics in recipients prior to and following progesterone were not predictive of pregnancy outcomes.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19548081</pmid><doi>10.1007/s10815-009-9312-z</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Assisted Reproduction
Blastocyst - pathology
Chorionic Gonadotropin - metabolism
Embryos
Endometrium
Endometrium - pathology
Estrogens - blood
Female
Follicular Phase
Gynecology
Human Genetics
Humans
In vitro fertilization
Luteal Phase
Medicine
Medicine & Public Health
Obstetrics
Oocyte Donation
Oocytes - cytology
Ovaries
Ovulation Induction
Pregnancy
Pregnancy Outcome
Progesterone - blood
Reproductive Medicine
Sperm
title Follicular and luteal phase endometrial thickness and echogenic pattern and pregnancy outcome in oocyte donation cycles
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