The Value of Myomectomy in Women With Intramural Myoma Before IVF.
NCT03904368 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2019-04-05
Summary
Women with intramural myoma not reaching the endometrial cavity will be randomized to either open myomectomy or no intervention . The participants will be assessed through full history-taking with special consideration to age and the duration, type, and cause of infertility. The medical examination included general, abdominal, and vaginal examinations. Finally, an ultrasonography examination was performed to check for the presence of three or more preantral follicles and to exclude ovarian cysts. On day 3 of a natural cycle, a baseline levels of FSH, luteinizing hormone (LH),
, estradiol and anti-Müllerian hormone (AMH).Ovarian stimulation was performed using a long, antagonist, or short protocol. They were assigned to one of the 2 groups according to having an intramural myoma not indenting the cavity or not. All will be followed up by transvaginal ultrasonography . When two or more follicles had reached a mean diameter of 18 mm, oocyte maturation was triggered by intramuscular administration of hCG. Embryo transfer will be done at day 2, 3 or 5 according to the circumstances.
Conditions
- Fibroid Uterus
- IVF
Interventions
- PROCEDURE
-
Open myomectomy
laparotomy then enucleation of the myoma followed by closure of the myometrial cavity
- DRUG
-
Gonadotropins
Gonadotropin stimulation of follicular growth
- DRUG
-
Human chorionic gonadotropin
HCG triggering of ovulation
- PROCEDURE
-
Ovum pick up
34 to 36 hours after HCG triggering
- PROCEDURE
-
Embryo transfer
Transfer of 2 grade 1 embryo on day 2,3 or 5 from oocyte retrieval
Sponsors & Collaborators
-
Cairo University
lead OTHER
Principal Investigators
-
Ahmed Maged, MD · Professor
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-04-30
- Primary Completion
- 2020-12-31
- Completion
- 2020-12-31
Countries
- Egypt
Study Locations
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