Comparison of vaginal use of micronized progesterone for the luteal support.
Randomized study comparison of Utrogestan and Crinone 8%

Česká verzia

Authors: Ľ. Michnová ¹ ; J. Dostál ² ; K. Langová ³ ; T. Rumpíková ⁴; Milan Kudela ²
Authors place of work: IVF Clinic, Olomouc, vedoucí lékař MUDr. Š. Machač, Ph. D. ¹; Porodnicko-gynekologická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. ²; Ústav lékařské biofyziky FN a LF UP, Olomouc, přednostka prof. RNDr. H. Kolářová, CSc. ³; Klinika reprodukční medicíny a gynekologie IVF, Zlín, odborný zástupce a ředitel kliniky MUDr. D. Rumpík ⁴
Published in the journal: Ceska Gynekol 2017; 82(1): 28-37

Summary

Objective:
The study was focused on comparison of efficiency, safety and tolerance of vaginal use of micronized progesterone in preparations Utrogestan and Crinone 8%.

Design:
Prospective randomized study.

Setting:
Department of Gynecology and Obstetric, University Hospital, Olomouc, Faculty of Medicine and Dentistry, Palacky University, Olomouc.

Material and methodology:
Into a prospective randomized study was, after calculation of 80% of the power of the study, α = 0,05, included 111 women in age between 18–40 with a basal value FSH < 10 IU/l and a normal finding in uteral cavity. After evaluation of efficiency of both preparations there was selected a fertilization rate, an implantation rate, a pregnancy rate and a take-home baby rate. Comparison of tolerance was made from evaluation of 21 parameters which were obtained through a questionnaire.

Results:
There were not been proven any significant differences in efficiency between both preparations. Crinone 8% was in patients better tolerated.

Conclusion:
Luteal support within the IVF/ICSI-ET remains an integral part of the treatment. According to the outcomes of the study it seems to be more suitable to use a vaginal gel for the luteal support with micronized progesterone.

Keywords:
luteal phase support, IVF/ET

Zdroje

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