Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy (2024)

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Volume 13

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10.3390/jcm13123439

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Article

by

Yu Wang

1Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy (7),

Ming-Jer Chen

1Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy (9),

Hwa-Fen Guu

1,

Ya-Fang Chen

1,

Hsiao-Fan Kung

1,

Jui-Chun Chang

1,

Li-Yu Chen

1,

Shih-Ting Chuan

1 and

Yu-Chiao Yi

1,2,*Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy (17)

1

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics, Gynecology & Women’s Health, Taichung Veterans General Hospital, Taichung 40764, Taiwan

2

School of Medicine, Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan

*

Author to whom correspondence should be addressed.

J. Clin. Med. 2024, 13(12), 3439; https://doi.org/10.3390/jcm13123439

Submission received: 7 May 2024 / Revised: 28 May 2024 / Accepted: 11 June 2024 / Published: 12 June 2024

(This article belongs to the Section )

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Abstract

Background/Objectives: This paper undertakes an investigation into the implications of premature progesterone rise (PPR) on pregnancy outcomes in freeze-all strategy cycles. Methods: A retrospective cohort study encompassing 675 IVF/ICSI cycles using a freeze-all strategy was enrolled. The cycles were categorized into two groups based on serum progesterone levels at the time of hCG administration: 526 cycles had levels below 1.5 ng/mL, while 149 cycles had levels equal to or above 1.5 ng/mL. Results: The findings revealed a significantly higher number of mature follicles and retrieved oocytes in patients with PPR across all AMH categories. Multiple analyses revealed factors influencing PPR, including the duration of induction and the number of retrieved oocytes. Within the same oocyte retrieval number group, patients with PPR demonstrated non-inferior pregnancy outcomes compared to non-PPR patients. Upon adjustment for age, AMH, and total follicle-stimulating hormone (FSH) dosage, PPR maintained a positive correlation with the cumulative live birth rate (LBR). Conclusions: The study showed that PPR correlates with an increase in retrieved oocytes while maintaining similar embryo quality and oocyte retrieval rates and results in a higher cumulative LBR.

Keywords: anti-Mullerian hormone; assisted reproductive technology; embryo transfer; in vitro fertilization (IVF); pregnancy rate; progesterone

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MDPI and ACS Style

Wang, Y.; Chen, M.-J.; Guu, H.-F.; Chen, Y.-F.; Kung, H.-F.; Chang, J.-C.; Chen, L.-Y.; Chuan, S.-T.; Yi, Y.-C. Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy. J. Clin. Med. 2024, 13, 3439. https://doi.org/10.3390/jcm13123439

AMA Style

Wang Y, Chen M-J, Guu H-F, Chen Y-F, Kung H-F, Chang J-C, Chen L-Y, Chuan S-T, Yi Y-C. Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy. Journal of Clinical Medicine. 2024; 13(12):3439. https://doi.org/10.3390/jcm13123439

Chicago/Turabian Style

Wang, Yu, Ming-Jer Chen, Hwa-Fen Guu, Ya-Fang Chen, Hsiao-Fan Kung, Jui-Chun Chang, Li-Yu Chen, Shih-Ting Chuan, and Yu-Chiao Yi. 2024. "Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy" Journal of Clinical Medicine 13, no. 12: 3439. https://doi.org/10.3390/jcm13123439

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

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MDPI and ACS Style

Wang, Y.; Chen, M.-J.; Guu, H.-F.; Chen, Y.-F.; Kung, H.-F.; Chang, J.-C.; Chen, L.-Y.; Chuan, S.-T.; Yi, Y.-C. Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy. J. Clin. Med. 2024, 13, 3439. https://doi.org/10.3390/jcm13123439

AMA Style

Wang Y, Chen M-J, Guu H-F, Chen Y-F, Kung H-F, Chang J-C, Chen L-Y, Chuan S-T, Yi Y-C. Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy. Journal of Clinical Medicine. 2024; 13(12):3439. https://doi.org/10.3390/jcm13123439

Chicago/Turabian Style

Wang, Yu, Ming-Jer Chen, Hwa-Fen Guu, Ya-Fang Chen, Hsiao-Fan Kung, Jui-Chun Chang, Li-Yu Chen, Shih-Ting Chuan, and Yu-Chiao Yi. 2024. "Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy" Journal of Clinical Medicine 13, no. 12: 3439. https://doi.org/10.3390/jcm13123439

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

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Premature Progesterone Rise Is Associated with Higher Cumulative Live Birth Rate with Freeze-All Strategy (18)

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