title: Assessment of Serum Progesterone Level on the Day of hCG Injection in Infertile Polycystic Ovarian Syndrome Patients Referred to Women's Hospital, Tehran, 2009.
abstract: BACKGROUND
  Polycystic ovarian syndrome (PCOS) is one of the most common causes of endocrine disorders and main reasons for infertility due to unovulation and recurrent abortions. There is no consensus on effect of serum progesterone level on the day of human chorionic gonadotropin (hCG) injection. This study aims to evaluate the effect of plasma levels of progesterone on the day of hCG injection on the rate of pregnancy in in vitro fertilization (IVF) cycles of PCOS cases.
  
  
  METHODS
  A stratified cohort study was conducted over a period of one year (2009) on 38 infertile women with PCOS who were suitable candidates for the IVF program. Patients were evaluated for other causes of infertility with hysterosalpingography (HSG), laparoscopy and normal sperm analysis. Patients were placed on the long protocol, followed by oocyte pick up, and finally IVF-embryo transfer (ET). Study patients were grouped according to progesterone levels of greater or less than 1.2 ng/ml on the day of hCG injection. Pregnancy rates were defined in each group. Levels on day of hCG day clinical pregnancy outcome were assessed. Experimental data were then compared against Fisher's exact test in SPSS version 18.
  
  
  RESULTS
  The overall pregnancy rate in this study was 26.3%. In the group with progesterone levels more than 1.2 ng/ml on the day of hCG injection, the clinical pregnancy rate was 4 (21.1%) and chemical pregnancy rate was 3(15.8%). In the group with progesterone levels less than 1.2 ng/ml, the clinical pregnancy rate was 1(5.3%) and chemical pregnancy rate was 2(10. 5%).
  
  
  CONCLUSIONS
  This study showed that PCOS patients with progesterone levels more than 1.2 ng/ml on the day of hCG injection resulted in higher chemical and clinical pregnancy rates. However, no significant statistical differences were found between the two groups. For further verification, we recommend additional studies with larger numbers of subjects.
authors.affiliation: Obstetrics and Gynecology Department, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Rezaee
authors.affiliation: Obstetrics and Gynecology Department, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Azizeh
authors.initials: A
authors.lastname: Ghaseminejad
authors.affiliation: Obstetrics and Gynecology Department, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mitra
authors.initials: M
authors.lastname: Forootan
authors.affiliation: Obstetrics and Gynecology Department, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Taraneh
authors.initials: T
authors.lastname: Hosseinipoor
authors.affiliation: Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Forough
authors.initials: F
authors.lastname: Forghani
keywords: HCG; Infertility; PCOS; Progesterone