Does Endometrial Injury Improve Intrauterine Insemination Outcome?
Primary Purpose
Infertility
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
endometrial injury.
intrauterine insemination
ovarian stimulation
Sponsored by
About this trial
This is an interventional treatment trial for Infertility
Eligibility Criteria
Inclusion Criteria:
- 18 - 38 years.
- patent fallopian tunes.
- mild male factor.
- anovulation.
- unexplained infertility.
Exclusion Criteria:
- indications for ICSI.
- evidence of pelvic inflammatory disease.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
endometrial injury
no endometrial injury
Arm Description
Endometrial injury during ovarian stimulation combined with intrauterine insemination.
Ovarian stimulation combined with intrauterine insemination.
Outcomes
Primary Outcome Measures
Chemical Pregnancy Rate
Human chorionic gonadotrophin (b-hcg) detection in serum two weeks after intrauterine insemination.
Clinical Pregnancy Rate
Ultrasound detection of an intrauterine positive fetal heart pulsations
Secondary Outcome Measures
Full Information
NCT ID
NCT02542280
First Posted
September 3, 2015
Last Updated
December 3, 2015
Sponsor
Ain Shams Maternity Hospital
1. Study Identification
Unique Protocol Identification Number
NCT02542280
Brief Title
Does Endometrial Injury Improve Intrauterine Insemination Outcome?
Official Title
Endometrial Injury May Increase the Pregnancy Rate in Patients Undergoing Intrauterine Insemination
Study Type
Interventional
2. Study Status
Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
July 2013 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
September 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ain Shams Maternity Hospital
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The investigator suggests that local endometrial injury using pipelle catheter performed in the follicular phase (cycle day 5, 6 or 7) of the stimulation cycle may improve the pregnancy rates among patients undergoing intrauterine insemination.
Detailed Description
In a selected group of patients with repeated implantation failure, endometrial injury in the preceding cycle may improve ICSI outcome.
Little is known about the efficacy of this procedure in improving intrauterine insemination outcome.
Also little is known about the effect of this procedure if done in the stimulation cycle weather in ICSI or intrauterine insemination cycles.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
360 (Actual)
8. Arms, Groups, and Interventions
Arm Title
endometrial injury
Arm Type
Experimental
Arm Description
Endometrial injury during ovarian stimulation combined with intrauterine insemination.
Arm Title
no endometrial injury
Arm Type
Active Comparator
Arm Description
Ovarian stimulation combined with intrauterine insemination.
Intervention Type
Procedure
Intervention Name(s)
endometrial injury.
Other Intervention Name(s)
endometrial scratch., endometrial sample.
Intervention Description
Endometrial injury using a pipelle biopsy catheter on day (5, 6 or 7) of the stimulation cycle combined with the intrauterine insemination.
Intervention Type
Procedure
Intervention Name(s)
intrauterine insemination
Other Intervention Name(s)
artificial insemination
Intervention Description
Placement of washed sperm in the uterus using a catheter, around the time of ovulation.
Intervention Type
Drug
Intervention Name(s)
ovarian stimulation
Other Intervention Name(s)
controlled ovarian hyperstimulatiom
Intervention Description
Inducing ovulation by human menopausal gonadotrophin ampoules given intramuscular starting from cycle day two, till the leading follicle reaches 16 - 18 mm.
Primary Outcome Measure Information:
Title
Chemical Pregnancy Rate
Description
Human chorionic gonadotrophin (b-hcg) detection in serum two weeks after intrauterine insemination.
Time Frame
two weeks after intrauterine insemination
Title
Clinical Pregnancy Rate
Description
Ultrasound detection of an intrauterine positive fetal heart pulsations
Time Frame
six weeks
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
38 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 - 38 years.
patent fallopian tunes.
mild male factor.
anovulation.
unexplained infertility.
Exclusion Criteria:
indications for ICSI.
evidence of pelvic inflammatory disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ahmed Bahaa
Organizational Affiliation
Lecturer in Obstetrics and Gynecology, faculty of medicine, Ain Shams University.
Official's Role
Principal Investigator
12. IPD Sharing Statement
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Does Endometrial Injury Improve Intrauterine Insemination Outcome?
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