Do müllerian Anomalies Affect Embryo Implantation?
AM
1 other identifier
observational
5,000
0 countries
N/A
Brief Summary
Müllerian anomalies (MA) are associated with infertility and affect approximately 6.3% of the infertile population. The estimation of the frequency of MAs is not without controversy because it depends on the diagnostic method used and sometimes on the established diagnostic criteria. This pathology is associated with abortion during the second trimester in addition to other complications that include preterm labor, fetal malpositions and an increased rate of caesarean section, although some patients may remain asymptomatic. An association between MA and endometriosis has been described and in particular the case of the septum uterus, therefore it is difficult to establish whether the reproductive results of women with MA tdepend only on the uterine factor or also on the quality of the oocytes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2014
Longer than P75 for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 20, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 25, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
July 25, 2019
CompletedFirst Submitted
Initial submission to the registry
September 25, 2020
CompletedFirst Posted
Study publicly available on registry
October 1, 2020
CompletedOctober 5, 2020
September 1, 2020
5.5 years
September 25, 2020
October 1, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
embryo implantation rate
To compare embryo implantation rate
Since 2000 to april 2019
Study Arms (2)
Study group
Women with Müllerian anomalies who have received an oocyte donation. The diagnosis of Müllerian anomalies is established when a cavity is demonstrated uterine abnormality with any of the defects described in the American classifications or European in transvaginal ultrasound, hysteroscopy or hysterosalpingography (HSG). The differential diagnosis in case of doubts is established with 3D ultrasound, MRI or hystero / laparoscopy. All the septa have been resected prior to performing the OVODON cycle.
Control group
Patients who receive donated oocytes and who do not present Müllerian anomalies. An absence of AM, a transvaginal ultrasound, an HSG or a normal hysteroscopy with a uterine cavity with a normal shape and absence of intracavitary images is considered
Interventions
Analyse the incidence of Mullerian anomalies in these populations
Eligibility Criteria
Women with Müllerian anomalies who have received an oocyte donation. The diagnosis of Müllerian anomalies is established when a cavity is demonstrated uterine abnormality with any of the defects described in the American classifications or European in transvaginal ultrasound, hysteroscopy or hysterosalpingography (HSG). The differential diagnosis in case of doubts is established with 3D ultrasound, MRI or hystero / laparoscopy. All the septa have been resected prior to performing the OVODON cycle.
You may qualify if:
- Women included in the oocyte donation program at IVI Vigo and Valencia 2000-2019.
- Sperm count greater than 1,000,000 per ml.
- Transfer on day 5 of embryo development of at least one good quality embryo.
You may not qualify if:
- Testicular biopsy.
- Any indication for preimplantation genetic diagnosis or screening.
- Uterine fibroid greater than 4 cm.
- Presence of ultrasound or diagnosis by HSG or laparoscopy of hydrosalpinx uni or bilateral.
- Recurrent abortion.
- Any abnormality of the uterine cavity other than MA: submucosal myoma, endometrial polyp, or uterine synechiae.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- IVI Vigolead
- Instituto Valenciano de Infertilidad, IVI VALENCIAcollaborator
Related Publications (2)
Makino T, Umeuchi M, Nakada K, Nozawa S, Iizuka R. Incidence of congenital uterine anomalies in repeated reproductive wastage and prognosis for pregnancy after metroplasty. Int J Fertil. 1992 May-Jun;37(3):167-70.
PMID: 1355763BACKGROUNDMunoz E, Fernandez I, Pellicer N, Mariani G, Pellicer A, Garrido N. Reproductive outcomes of oocyte donation in patients with uterine Mullerian anomalies. Fertil Steril. 2023 Oct;120(4):850-859. doi: 10.1016/j.fertnstert.2023.06.029. Epub 2023 Jun 29.
PMID: 37392783DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ekin DR Muñoz, MD
IVI Vigo
- STUDY CHAIR
Agustina Ramos Gutierrez
IVI Vigo
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2020
First Posted
October 1, 2020
Study Start
January 20, 2014
Primary Completion
July 25, 2019
Study Completion
July 25, 2019
Last Updated
October 5, 2020
Record last verified: 2020-09
Data Sharing
- IPD Sharing
- Will not share