Influence of midluteal serum prolactin on outcome of pregnancy after IVF-ET: a preliminary study

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This prospective study of 29 IVF-ET patients found that lower midluteal serum prolactin levels and higher progesterone-to-prolactin ratios were associated with early pregnancy loss, suggesting these markers may predict IVF outcomes.

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Abstract

PURPOSE: To investigate the relationship between serum prolactin levels in the midluteal phase and the prognosis of pregnancy after IVF-ET. DESIGN: Prospective study; SETTING: Shimane Medical University Hospital; PATIENTS: 29 patients completing their 34th IVF cycle; and MAIN OUTCOME MEASURES: Serum levels of prolactin, estradiol-17 beta, and progesterone in the midluteal phase. RESULTS: Midluteal prolactin levels were significantly lower in patients with early pregnancy loss than in the successful pregnancy group. The mean progesterone/prolactin ratio and the estradiol-17 beta/prolactin ratio were highest in patients with early pregnancy loss and were lowest in patients with successful pregnancies. CONCLUSIONS: Findings of this study suggest that measurement of the serum prolactin concentration in the midluteal phase is useful for predicting the outcome of IVF-ET.

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MeSH descriptors

Embryo Transfer Fertilization in Vitro Infertility, Female Luteal Phase Prolactin Adult Estrogens Estrogens Female Gonadal Steroid Hormones Gonadal Steroid Hormones Humans Infertility, Female Luteal Phase Pregnancy Pregnancy Outcome Progesterone Progesterone Prognosis Prolactin

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