Evidence map›Paper›PMID 40491598›Full record

ArticleFrontiers in endocrinology2025

Effectiveness, safety, and practicality of intramuscular progesterone in restoring pregnancy outcomes during frozen embryo transfers.

Chien Ngoc Nguyen, Trang Thi Nhu Nguyen, Thanh Thien Le, Phuong Bich Vu, Lan Thi Phuong Le, Nha Ba Pham, Huong Minh To, Xuyen Thi Nguyen, Ly Thi Tam Nguyen, Van Thi Cam Nguyen and 8 more

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Progestogen supplementation to prevent miscarriage: Evidence and controversies.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Chien Ngoc NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Trang Thi Nhu NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Thanh Thien LeVinmec-VinUni Institute of Immunology, College of Health Science, VinUniversity, Hanoi, Vietnam.
Phuong Bich VuAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Lan Thi Phuong LeAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Nha Ba PhamAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Huong Minh ToAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Xuyen Thi NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Ly Thi Tam NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Van Thi Cam NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Yen Thi Kim PhamAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Tran Hue TranAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Quynh Thi NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Yen Hoang NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Tho Thi VuAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Thuy Thi Thu NguyenAssisted Reproductive Technology Center, Vinmec Healthcare System, Hanoi, Vietnam.
Xuan-Hung NguyenVinmec-VinUni Institute of Immunology, College of Health Science, VinUniversity, Hanoi, Vietnam.
Robert J NormanRobinson Research Institute and Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate whether progesterone (P4) supplementation in patients with low serum progesterone levels after normal luteal phase support (LPS) improves pregnancy outcomes in women undergoing frozen embryo transfer (FET). Methods: A retrospective, single-center cohort study including 1301 vitrified-warmed frozen embryo transfer (FET) cycles conducted from May 2021 to July 2023 at Vinmec Times City International Hospital. A total of 696 FET cycles from individual patients were analyzed for pregnancy outcome. Patients with serum P4 level ≥ 10 ng/ml (Normal P4, n=359) continued to receive standard LPS, while those with P4 levels < 10 ng/ml (Rescue P4, n=337) received 50 mg intramuscular P4 injection daily in addition to the standard LPS for 7-10 days. Results: Daily intramuscular P4 effectively restored serum P4 levels to that of the Normal P4 group and resulted in pregnancy outcome comparable to that of patients with P4 levels ≥10 ng/ml. Notably, the efficacy of this protocol was consistent even in very low serum P4 concentrations (< 4ng/ml) and was independent of preimplantation genetic testing for aneuploidy (PGT-A). Conclusion: Intramuscular P4 effectively increased serum P4 levels resulting in pregnancy and neonatal outcomes comparable to those in patients with P4 levels ≥10 ng/ml. This approach provides a safe, effective intervention to improve FET outcomes, supporting the routine inclusion of serum P4 testing and intramuscular P4 rescue in standard FET protocols.

Indexed as

Embryo TransferPregnancy OutcomeProgesteroneAdultCryopreservationFemaleFertilization in VitroHumansInjections, IntramuscularPregnancyPregnancy RateRetrospective StudiesProgesteronefrozen embryo transferhormone replacement treatmentluteal phase supportprogesterone administrationserum progesterone levels

Identifiers

PMID40491598
PMCPMC12146201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.