Elagolix for Fertility Enhancement Clinical Trial
EndometriosisUnexplained InfertilityStudies suggest that undiagnosed endometriosis results in poor reproductive outcomes in the setting of In Vitro Fertilization and Embryo Transfer (IVF-ET). Biomarkers that predict endometriosis including B-cell lymphoma (BCL6) and Sirtuin 1 (SIRT1) are associated with reduced pregnancy rates following IVF-ET. Treatment with gonadotropin releasing hormone (GnRHr) receptor agonists (leuprolide acetate depot) has been shown to improve pregnancy rates following embryo transfer (ET). In this randomized controlled trial, a new generation GnRHr antagonist, elagolix, will be compared to oral contraceptives (OCPs) for suppression of suspected endometriosis prior to ET. Both groups will receive two months of treatment prior to frozen embryo transfer of a single euploid embryo. Outcomes will include pregnancy rate, miscarriage rate and ongoing and live birth rate following treatment. Patients experiencing unanticipated problems or who experience adverse events such that they do not tolerate the treatment they are assigned, will be allowed to discontinue treatment and be provided the opportunity to use the other treatment if they so choose. The outcomes of such cycles would be collected separately and included as observational data only and not included in the randomized data analysis. Alternatively, they can simply drop out of the study and resume medical therapy as appropriate or pursue frozen embryo transfer as previously planned.
A Prediction Model and Assisted Decision-making System of Fertilization Disorders
InfertilityThe goal of this clinical trial is to test the accuracy of the forecasting system we develop. The main question it aims to answer is: Whether the clinical prediction system predicts the incidence of fertilization disorders accurately. The fertilization disorder prediction system predicts whether and how much the outcome differs from the doctor. Participants will receive treatment assisted by a predictive system or receive general treatment. Researchers will compare incidence of fertilization disorders to see if the fertilization disorder prediction system makes correct predictions.
Uterine Allotransplantations Using Uterine Grafts From Brain-dead Female Donors
InfertilityUterus transplantation may enable women with uterine factor infertility to become pregnant and give birth. This study will explore the feasibility of a uterine transplant and eight subjects will undergo deceased donor uterine transplantation at CHU de Limoges. There phases involved in this study: Primary, Secondary and Tertiary Screening, Medical Evaluation, IVF, Transplantation, Embryo Transfer, Pregnancy/Delivery and Follow up.
Invasive PGT-A Embryo Selection Versus Non Invasive PGT-A Assisted Embryo Selection
InfertilityAneuploidy1 moreThis is a prospective randomised study of the evaluation of the clinical IVF results after invasive PGT-A embryo selection versus Non-invasive PGT-A assisted embryo selection in subfertile women.
Single and Double DNA Strand Breaks in Males With Unexplained Infertility Attending Fertility Treatment...
InfertilityMaleThe aim of this study is to investigate the extent of double-stranded DNA damage in sperm in men with unexplained infertility.
Frozen Embryo Transfer Pregnancy Outcomes Prediction by Microbiome
InfertilityMicrobiomeThis study intends to explore the correlation between cervical microbiome, gut microbiome and pregnancy outcomes of frozen embryo transfer patients through a multicenter prospective observational study, and to explore the predictive value of microbiome on pregnancy outcome.
Evaluation of Blastocyst Morphology and Quality in Patients With Embryo Transfer at the Blastocyst...
InfertilityIn this prospective study, the investigators aim to investigate the role of trophectoderm cells and inner cell mass cells on pregnancy outcomes in blastocyst transferred in-vitro fertilization pregnancy. The investigators will support findings with bilateral uterine artery Doppler measurements to be made between the 11th and 14th weeks of pregnancy.
Epidemiology of Sexually Transmitted Infections and Its iMpAcT on fEmale Infertility
Sexually Transmitted InfectionA longitudinal study to investigate the prevalence of sexually transmitted infections among young women and determine the role of the female genital tract microbiome in fertility
DNA Analysis of Discarded Media Drops From the Clinical IVF Cycles
InfertilityPerforming DNA analysis of discarded media drops from the clinical IVF cycles completed in our Center
Does DHEA IVF Outcomes in Poor Responders?
InfertilityFemale1 moreThis study is a RCT to examine whether DHEA is capable of improving results for poor responders to ovarian stimulation during IVF treatment