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To determine whether estradiol-to-progesterone (E2/P) ratios at the time of embryo …


Biology Articles » Reproductive Biology » Serum estradiol/progesterone ratio on day of embryo transfer may predict reproductive outcome following controlled ovarian hyperstimulation and in vitro fertilization » Conclusion

Conclusion
- Serum estradiol/progesterone ratio on day of embryo transfer may predict reproductive outcome following controlled ovarian hyperstimulation and in vitro fertilization

We conclude that moderately increased P values in the early luteal phase was associated with higher E2/P ratios and better pregnancy outcomes, whereas a high increase in P values in combination with a decrease in E2values (reflected by a low E2/P ratio) append to indicate poor reproductive outcome. Consequently, this retrospective study implies that in the latter setting the embryo will encounter a poorly receptive endometrium on the day of transfer, resulting in impaired implantation.

To our knowledge, this is the first study specifically evaluating E2/P ratio in relation to IVF outcome. Further study is needed to examine whether the E2/P ratios could be used as a prognostic test to predict which women will have a clinical pregnancy in the setting of advanced reproductive technologies following a COH.


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