Progesterone levels predict pregnancy outcomes in individuals with fallopian tube associated infertility

• Published in: BMC pregnancy and childbirth 2021-01, Vol.21 (1), p.16-16, Article 16
• Main Authors: Bo, Wenjia, Zhang, Ning, Wang, Ling, Guo, Ying, Wu, Haicui
• Format: Article
• Language: English
• Subjects: Adult; Birth rate; Body mass index; Chinese medicine; Chorionic Gonadotropin - administration & dosage; Drug dosages; Embryo Transfer; Embryos; Fallopian Tube Diseases - complications; Fallopian tube factor; Fallopian tubes; Female; Fertilization in Vitro; Fresh embryo transfer; Humans; In vitro fertilization; Infertility; Infertility, Female - etiology; Infertility, Female - therapy; Live Birth; Live birth rates; Ovaries; Patients; Pregnancy; Pregnancy Outcome; Pregnancy Rate; Progesterone; Progesterone - blood; Reproductive technologies; Retrospective Studies; ROC Curve; Transplants & implants
• ISSN: 1471-2393; 1471-2393
• DOI: 10.1186/s12884-020-03495-6

This study aimed at determining the predictive value of human chorionic gonadotropin and progesterone levels on pregnancy outcomes in patients receiving in vitro fertilization due to fallopian tube associated infertility. We retrospectively analyzed the clinical data of 854 cycles due to fallopian tube associated infertility in vitro fertilization fresh embryo transfer. The clinical data had been collected from January 2010 to December 2018 and was divided into 7 groups depending on the progesterone level on human chorionic gonadotropin administration day. Live birth rates and observation trends were calculated. The receiver operating characteristic curve was established to determine the optimal cutoff value for progesterone, which was used to further divide the data into 3 groups; Group 1 (progesterone ≦ 1.0 ng/ml), Group 2 (1.0 ng/ml ≤ progesterone ≤ 1.25 ng/ml), and Group 3 (progesterone ≥ 1.25 ng/ml). We then compared the ovulation results and clinical outcomes among the 3 groups. There were no significant differences in age, infertility years, gonadotropin dosage, gonadotropin days, Luteinizing hormone level on human chorionic gonadotropin day, 2 pronuclear fertilization rates, clinical pregnancy rates, live birth rates, full-term birth rate, and preterm birth rates among the three groups. However body mass index (p = 0.001), basal luteinizing hormone (p = 0.034), estrogen peak (p < 0.001), number of oocytes obtained (P < 0.001) were significantly different. Progesterone level on human chorionic gonadotropin day does not affect the clinical pregnancy rate and live birth rates after in vitro fertilization. However, progesterone levels between 1.0 and 1.25 ng/ml may lead to good clinical pregnancy outcomes.