Day of Embryo Transfer for Patients Undergoing In Vitro Fertilization

Study Overview
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Brief Summary
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We are examining whether pregnancy rates differ based on day of embryo transfer in patients who replace all available embryos after an In vitro Fertilization (IVF) cycle. Patients must be undergoing IVF treatment at Stanford University and patients will not receive compensation for their participation (no medical costs covered or patient payment for participation).

Detailed Description
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The decision on the number of embryos to transfer after an IVF cycle is based on the number of available embryos, the quality of the embryos, the patient's age, and the goal of limiting multiple gestations. Stanford Fertility Center and most IVF centers examine the embryos on the third day after oocyte (egg) retrieval to select for the best quality embryos to transfer, and depending on quality, the remaining embryos are frozen to be used in the future. Patients with a limited number of embryos, those that plan to replace all available embryos after an IVF cycle, do not need to wait until the third day after oocyte retrieval to select embryos, and may replace the embryos on the second day after the oocyte retrieval. We are examining whether pregnancy rates differ among these patients based on the day of embryo transfer (Day 2 vs. Day3). Patients must be undergoing IVF treatment at Stanford University and patients will not receive compensation for their participation (no medical costs covered or patient payment for participation).

Official Title
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Embryo Transfer on Day 2 vs. Day 3 After Oocyte Retrieval in Patients Who Plan to Replace All Embryos After an In Vitro Fertilization Cycle

Conditions
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Infertility

Intervention / Treatment
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* Procedure: Day 3 embryo transfer
* Procedure: Day 2 embryo transfer


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients undergoing fresh IVF cycle at Stanford Fertility Center who plan on replacing all available embryos. Exclusion Criteria: Patients that do not meet above criteria.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Day 2 embryo transfer<br>Embryos are transferred 2 days after fertilization. | Procedure: Day 2 embryo transfer<br>* Embryos are transferred 1 day prior to standard of care<br>|
| Active Comparator: Day 3 embryo transfer<br>Standard of care for women undergoing IVF with a limited number of embryos is to transfer all embryos on Day 3 after fertilization | Procedure: Day 3 embryo transfer<br>* Standard of care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pregnancy rates |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Live birth rates |  | 1 year | 
| Multiple gestation rates |  | 1 year |