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Impact of IVF Hormonal Therapy on Endometrial Receptivity and Endometrial Senescent Cell Pathological Accumulation

Recruitingn/aAges 18 Years - 45 YearsFemaleFundación IVI
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In plain words

What the trial is, and whether it could suit you

Both controlled ovarian stimulation (COS) and frozen embryo transfer has become an integral part of in vitro fertilization (IVF) treatment. Fresh embryo transfer is usually performed by providing Luteal Phase Support (LPS) with progesterone after COS. Frozen embryo transfer (FET) is usually performed in artificial cycles with hormone replacement treatment (HRT), in which exogenous progesterone is administered, although it can also be performed in a Natural Cycle (without hormone supplementation) (NC). There is evidence that the supraphysiologic levels of estradiol and progesterone during COS+LPS and HRT could lead to morphologic and biochemical endometrial modifications, altering endometrial receptivity and lowering implantation and pregnancy rates. We hypothesize that the supraphysiologic hormone levels required for both COS+LPS, and HRT may be inducing alterations in endometrial compo

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📋 Eligibility rules (as published)
Study group (subfertile IVF patients). * Inclusion Criteria: Women aged 18-45 years, BMI ≥ 18.5- 30. * Exclusion criteria: Women presenting any uterine disease that affects the endometrial cavity, or with a thin or irregular endometrium, altered karyotypes, thrombophilias, or uncorrected systemic or endocrine diseases will be excluded. Endometrial receptivity reference group (oocyte donors). * Inclusion criteria: women aged between 18 and 35 years, BMI ≥ 18.5- 25. * Exclusion criteria: Any cases of DIU presence, hormonal contraceptives at least during the last three months, altered karyotypes, thrombophilias, or uncorrected systemic or endocrine diseases will be excluded.
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What it tests

  • Controlled Ovarian Stimulation + Luteal Phase Support
  • Hormonal Replacement Therapy programmed artificial cycle
  • Natural Cycle (NC)
  • Endometrial receptivity reference group
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Where

1 site
IVI-RMA Valencia Clinic
Valencia, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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