Evidence map›Paper›PMID 41622134›Full record

ArticleBMC pregnancy and childbirth2026

Impact of serum progesterone levels and rescue progesterone supplemental luteal support on pregnancy outcomes in frozen embryo transfer: a controlled trial.

Maryam Azizi Kutenaee, Sonia Falah Khorsand, Farzaneh Fesahat, Minoo Vahedi Raad, Fatemeh Afshar, Ensieh Salehi

Abstract readControlled Clinical Trial
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Maryam Azizi KutenaeeFertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Sonia Falah KhorsandFertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Farzaneh FesahatReproductive Immunology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Minoo Vahedi RaadReproductive Immunology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Fatemeh AfsharFertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Ensieh SalehiFertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. salehiensieh@gmail.com.ORCID http://orcid.org/0000-0003-2839-3988

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of serum progesterone levels and the benefit of rescue luteal support in frozen embryo transfer (FET) cycles remain debated. While low serum progesterone has been linked to poorer outcomes, evidence on whether supplementation improves pregnancy rates is inconsistent.

objectiveTo evaluate the impact of serum progesterone levels and additional progesterone supplementation on pregnancy outcomes in women undergoing FET.

methodsIn this controlled, single-blind trial, 74 women were allocated into three groups: Group I (n = 26, progesterone < 10 ng/mL, standard luteal support), Group II (n = 23, progesterone < 10 ng/mL, standard luteal support + 400 mg progesterone), and Group III (n = 25, progesterone ≥ 10 ng/mL, standard luteal support). Primary outcome was clinical pregnancy; secondary outcomes included biochemical and ongoing pregnancy, and pregnancy loss. Logistic regression identified independent predictors.

resultsProgesterone levels differed significantly between groups both on transfer day and three days later (p < .001). Pregnancy outcomes did not differ significantly: biochemical pregnancy (50.0%, 34.8%, 44.0%), clinical pregnancy (42.3%, 34.8%, 44.0%), ongoing pregnancy (42.3%, 30.4%, 44.0%), and pregnancy loss (7.7%, 4.3%, 0%) for Groups I–III, respectively. Maternal age was the only consistent predictor across models, negatively associated with pregnancy outcomes (OR 0.85–0.87, p < .05).

conclusionSupplemental luteal support in women with low progesterone mitigate negative effects, as outcomes were comparable to women with normal progesterone even though it did not significantly improve pregnancy outcomes. Maternal age remained the strongest predictor. Larger trials are needed to clarify benefits in high-risk subgroups and to define optimal progesterone thresholds.

trial registrationIranian Registry of Clinical Trials (IRCT), IRCT20200905048630N2, registered on 22 Aguest 2021.

Indexed as

Embryo TransferLuteal PhaseProgesteroneAbortion, SpontaneousAdultCryopreservationFemaleHumansPregnancyPregnancy OutcomePregnancy RateSingle-Blind MethodProgesteroneFrozen embryo transferLuteal supportPregnancy outcomeProgesterone

Identifiers

PMID41622134
PMCPMC12955326

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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.