Is There A Role For Mechanical Stimulation In Ovarian Follicular Activation?

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-40
SponsorART Fertility Clinics LLC

About this trial

Premature ovarian failure (POI) is a loss of normal function before age 40, leading to infertility and hypoestrogenism. About 1% of women younger than 40 years old and 0.1% before 30 are affected. Most patients already had impaired or complete loss of fecundity when diagnosed. Hence, the treatment of POI is particularly tough. Currently, no optimal regimen exists to ameliorate ovarian function.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signed and dated informed consent

Women 40 years of age and younger with documented primary ovarian insufficiency (12).

Normal Karyotype

BMI </= 35 kg/m2

Disqualifiers

Premature ovarian failure due to a genetic origin, such as Turner's Syndrome or chromosomal abnormality.

Oncological diseases (specially, skeletal system and blood).

Autoimmune diseases, for example, lupus erythematosus, etc.

Previous treatments including radiotherapy or chemotherapy.

Trial population

Adult women with primary or secondary infertility with a diagnosis of POI, willing to perform an IVF treatment

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Ovarian puncture

    Procedure/Surgery

    Egg collection

  • Hormonal blood Test

    Other intervention

    AMH (ng/ml), FSH (IU/mL), E2(pg/mL), P4(ng/mL), LH (IU/mL)

  • Transvaginal ultrasound

    Diagnostic test

    Doppler of arteria ovarica. Resistance index

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Intervention3 interventions
Group B: Control0 interventions

Trial outcomes

Primary outcomes

1

Follicle growth above 4 mm

One or more follicles evaluated by transvaginal ultrasound. Defined by number of follicles growing, quantitative variable.

Time frame
1 day
2

Anti-Müllerian hormone evaluation after intervention.

Anti-Müllerian hormone evaluation after intervention.

Time frame
1 day
3

Follicle-stimulating hormone evaluation after intervention.

Follicle-stimulating hormone evaluation after intervention.

Time frame
1 day
4

Luteinizing hormone evaluation after intervention.

Luteinizing hormone evaluation after intervention.

Time frame
1 day

Secondary outcomes

1

Number of follicles

Number of follicles

Time frame
1 day
2

Number of oocytes retrieved

Number of oocytes retrieved

Time frame
1 day
3

Fertilization rate

percentage of 2PN embryos per oocyte injected

Time frame
1 day
4

Blastulation rate

percentage of blastocysts per 2PN embryos

Time frame
1 day

Other outcomes

1

Clinical pregnancy by blood test

pregnancy (yes or no) defined by a βhCG test of \> 15IU

Time frame
12 weeks
2

Implantation rate (%)

defined by the number of gestational sacs/number of embryos transferred

Time frame
4 weeks
3

Clinical pregnancy by ultrasound

defined by the ultrasonographic visualization of one or more gestational sacs, including ectopic pregnancies

Time frame
12 weeks

Sponsors and contacts

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