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189949

Role of Adding Phytoestrogen to Clomiphene Citrate in Improving Endometrial Thickness in Woman with Unexplained Infertility

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Last updated: 03 Jan 2025

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Abstract

Background: Unexplained infertility is failure to conceive after 1 year in couples with normal semen samples and no abnormality found during an infertility work-up. Clomiphene citrate (CC) induces ovulation. Objective: The aim was to evaluate the effect of follicular phase oral phytoestrogens (PES) in patients with unexplained infertility, managed by clomiphene ovulation induction, triggered by HCG injection and timed intercourse, in terms of pregnancy rate, follicular maturation and endometrial thickness. Patients and Methods: This study included 56 infertile patients seeking for pregnancy. Clomiphene was given orally at a dose of one tablet twice per day (tablet 50 mg), from day 3 to day 7 for all patients (group I and group II), while phytoestrogens were given at a dose of two tablets one shot per day (tablet 20 mg), from day 1 to day 12 only for group I, followed by HCG injection on attaining mature follicle(s) by trans-vaginal US scan with diameter ≥ 18 mm in both group. The study was conducted in Department of Obstetrics and Gynecology, Zagazig University Hospitals. Results: The number of days till HCG injection were significantly lower in group I (13.8 ± 1.8 days) than in group II (14.9 ± 2.1 days), which indicates a better ovulation. As for the endometrial thickness, it was significantly higher in group I than in group II. The number of ovulatory follicle(s) as single, two or three showed no significant difference between the studied groups. Conclusion: Adding PES to CC induced cycles, improved the endometrial thickness, promoted follicular maturation in a shorter time and also, improved pregnancy rates.  

DOI

10.21608/ejhm.2021.189949

Keywords

Phytoestrogen, Clomiphene citrate, Endometrial Thickness, Infertility

Authors

First Name

Ali El-Shabrawy

Last Name

Ali

MiddleName

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Affiliation

Department of Obstetrics & Gynecology, Faculty of Medicine – Zagazig University, Egypt.

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Orcid

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First Name

Sherin Attia

Last Name

Shazley

MiddleName

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Affiliation

Department of Obstetrics & Gynecology, Faculty of Medicine – Zagazig University, Egypt.

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City

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Orcid

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First Name

Waleed Abd -

Last Name

Allah Abd Al-Salam

MiddleName

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Affiliation

Department of Obstetrics & Gynecology, Faculty of Medicine – Zagazig University, Egypt.

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Orcid

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First Name

Marwa Yahia Ramadan

Last Name

Metwali

MiddleName

-

Affiliation

Department of Obstetrics & Gynecology, Faculty of Medicine – Zagazig University, Egypt.

Email

marwayahia120@gmail.com

City

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Orcid

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Volume

85

Article Issue

1

Related Issue

27163

Issue Date

2021-10-01

Receive Date

2021-08-18

Publish Date

2021-10-01

Page Start

2,804

Page End

2,808

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_189949.html

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https://ejhm.journals.ekb.eg/service?article_code=189949

Order

23

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Adding Phytoestrogen to Clomiphene Citrate in Improving Endometrial Thickness in Woman with Unexplained Infertility

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Article

Created At

22 Jan 2023