自然循环与激素替代疗法作为排卵期妇女进行冷融化胚胎移植的子宫内膜制备:竞争的开放标签随机对照试验
Xitong Liu1, Wentao Li2, Wen Wen1
1The Assisted Reproduction Center, Northwest Women's and Children's Hospital, Xi'an, China.
PLoS medicine
|June 25, 2025
概括
与激素替代疗法 (HRT) 相比,用于冷解胚胎移植 (FET) 的自然循环子宫内膜制备导致更高的活产率. 这项研究强调了自然循环 (NCs) 对改善生育结果的潜在好处.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 在体外受精过程中受精.
- 临床试验 临床试验
背景情况:
- 子宫内膜的准备对于成功的冷解胚胎移植 (FET) 是至关重要的.
- 优化子宫内膜制备协议可以提高活产率和产科结果.
- 对于冷胚胎移植 (COMPETE) 试验的子宫内膜制备协议的比较研究了不同的协议.
研究的目的:
- 评估自然循环 (NCs) 是否为第一个FET循环产生比激素替代疗法 (HRT) 更高的活产率.
- 为了比较NC和HRT子宫内膜制备方案之间的产科和围产期结局.
主要方法:
- 一个单中心,开放标签,随机对照试验,涉及902名接受FET的女性.
- 有规律排卵周期的参与者被随机 (1:1) 分给NC或HRT子宫内膜制剂.
- 使用治疗意图分析来确定主要结果:活产率.
主要成果:
- 与HRT组 (43.0%) 相比,NC组的活产率明显高 (54.0%).
- 在NC组中,流产率和产前出血率较低.
- 虽然交叉发生是由于排卵或自发排卵,但NC组显示出更高的活产率.
结论:
- 与HRT相比,自然循环子宫内膜准备导致正常周期接受FET的妇女的活产率更高.
- 该研究表明,NC是提高FET成功率的潜在更有效策略.
- 允许组之间的交叉需要谨慎解释直接的疗效比较.
更多相关视频
05:13Author Spotlight: Advancing Therapeutic Strategies for Improving Pregnancy Rates by Analyzing Embryo-Endometrium Interactions
Published on: June 21, 2024
1.1K
08:29Author Spotlight: Multiplex Immunohistochemistry for Understanding Immune Regulation by Uterine NK Cells in Pregnancy
Published on: October 25, 2024
1.3K
相关概念视频
Hormonal Regulation of the Menstrual Cycle
725
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
725
Ovarian Cycle
1.9K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
1.9K
Hormonal Control of the Ovarian Cycle
3.4K
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
3.4K
Meiosis II
184.5K
Meiosis II is the second and final stage of meiosis. It relies on the haploid cells produced during meiosis I, each of which contain only 23 chromosomes—one from each homologous initial pair. Importantly, each chromosome in these cells is composed of two joined copies, and when these cells enter meiosis II, the goal is to separate such sister chromatids using the same microtubule-based network employed in other division processes. The result of meiosis II is two haploid cells, each...
184.5K
In Vitro Fertilization
424
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
424
