CHU de Nimes
Nîmes, 30029, France
NCT Number: NCT04820985
The composition of the vaginal microbiota varies throughout a woman's life and is sensitive to hormonal and environmental factors. Specifically, hormonal treatments necessary in the medically assisted procreation (MAP) processes can influence the vaginal microbiota. New sequencing techniques have been used to characterize the vaginal microbiota, demonstrating that the microbiota could be divided into 5 classes. The composition of the vaginal microbiota seems to have an implication in the evolution of a pregnancy after IVF. It is therefore essential to have more data on the evolution of the vaginal microbiota at the different stages of IVF treatment and to analyze whether this evolution can be predictive of the success of embryo implantation. Good endometrial progesterone impregnation is an essential prerequisite for ensuring embryo implantation. Indeed, supporting the luteal phase through vaginal progesterone is an essential step in IVF protocols to ensure synchronization between endometrial maturation and embryonic age. However, the serum progesterone level on the day of embryo transfer varies widely between patients. Several factors such as age, vaginal mucosa trophicity, estrogen impregnation and sexual activity are known to affect the vaginal absorption of progesterone. The treatments and vaginal examinations performed during the IVF procedure could also have an impact on the constitution of the vaginal microbiota. The hypothesis of this research is that there is an alteration in the vaginal microbiota during the IVF process which may alter the absorption of vaginal progesterone, with an impact on the failure or success of embryo implantation.
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Notify Me18 year–40 year
Female
Observational
Nîmes, 30029, France
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Vaginal flora swab 3 months before stimulation, at oocyte puncture, embryo transfer and beta-human chorionic gonadotropin dosing
Blood sample to measure plasma dose of progesterone
Time frame: 3 Months before ovarian stimulation
Classified into 5 classes of vaginal flora described according to Smith & Ravel 2017
Time frame: 3 Months before ovarian stimulation
Measured by operational taxonomic unit
Time frame: 3 Months before ovarian stimulation
Shannon Index
Time frame: 3 Months before ovarian stimulation
Bray Curtis index
Time frame: Day of embryo transfer (Day 0)
Measured by chemiluminescence (nmol/L)
Time frame: Day of oocyte puncture (Month 3)
Classified into 5 classes of vaginal flora described according to Smith & Ravel 2017
Time frame: Day of embryo transfer (Day 93)
Classified into 5 classes of vaginal flora described according to Smith & Ravel 2017
Time frame: Day of beta-human chorionic gonadotropin dosage (Day 108)
Classified into 5 classes of vaginal flora described according to Smith & Ravel 2017
Time frame: Day of oocyte puncture (Month 3)
Measured by operational taxonomic unit
Time frame: Day of embryo transfer (Day 93)
Measured by operational taxonomic unit
Time frame: Day of beta-human chorionic gonadotropin dosage (Day 108)
Measured by operational taxonomic unit
Time frame: Day of oocyte puncture (Month 3)
Shannon Index
Time frame: Day of embryo transfer (Day 93)
Shannon Index
Time frame: Day of beta-human chorionic gonadotropin dosage (Day 108)
Shannon Index
Time frame: Day of oocyte puncture (Month 3)
Bray Curtis index
Time frame: Day of embryo transfer (Day 93)
Bray Curtis index
Time frame: Day of beta-human chorionic gonadotropin dosage (Day 108)
Bray Curtis index
Time frame: Month 3
Yes/No
Time frame: Month 3
Implantation failure/progression/miscarriage
Time frame: Month 3
Description of treatments, taken from patient file
Time frame: Month 3
Measured by chemiluminescence (nmol/L)
Centre Hospitalier Universitaire de Nīmes
Other
Analyse de la Composition du Microbiote Vaginal à différents Temps de la Prise en Charge en FIV et corrélation Avec le Taux de progestérone sérique le Jour du Transfert d'Embryon
Acronym: MICROFIV
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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