每周使用一次之陰道黃體素環可能取代每日服用之黃體素

每周使用一次之陰道黃體素環，可應用於胚胎植入後，
未來可能取代每日服用之黃體素或陰道凝膠

http://humrep.oxfordjournals.org/content/23/8/1778.full

Fertil Steril. 2013 Feb 11. pii: S0015-0282(13)00014-9. doi: 10.1016/j.fertnstert.2012.12.052. [Epub ahead of print]

Progesterone vaginal ring versus vaginal gel for luteal support with in vitro fertilization: a randomized comparative study.

Stadtmauer L, Silverberg KM, Ginsburg ES, Weiss H, Howard B.

Source

Jones Institute for Reproductive Medicine, Norfolk, Virginia. Electronic address: stadtmla@evms.edu.

Abstract

OBJECTIVE:

To compare the efficacy and safety of luteal phase support in IVF with a progesterone (P) vaginal ring or gel (VR or VG).

DESIGN:

Prospective, randomized, single-blind, multicenter, phase III clinical trial (ClinicalTrials.gov identifier: NCT00615251).

SETTING:

Nineteen private and three academic high-volume U.S. IVF centers.

PATIENT(S):

One thousand two hundred ninety-seven infertile patients were randomized to a weekly P VR (n = 646) or a daily P 8% VG (n = 651).

INTERVENTION(S):

IVF was performed per site-specific protocols. The day after egg retrieval, patients were randomized and began VR or VG therapy, which continued for up to 10 weeks' gestation.

MAIN OUTCOME MEASURE(S):

Clinical pregnancy rates at 8 and 12 weeks of pregnancy; rates of biochemical pregnancy, live birth, spontaneous abortion, ectopic pregnancy, and cycle cancellation; and safety and tolerability were secondary measures.

RESULT(S):

Clinical pregnancy rates at 8 and 12 weeks were high and comparable between groups: 48.0% for VR and 47.2% for VG at week 8 and 46.4% (VR) and 45.2% (VG) at week 12. Live-birth rates were 45% (VR) and 43% (VG). Adverse event profiles were similar between groups.

CONCLUSION(S):

The weekly P VR provided similar pregnancy rates to the daily VG, with no major differences in safety.