Indian Journal of Obstetrics and Gynecology Research

Print ISSN: 2394-2746

Online ISSN: 2394-2754

CODEN : IJOGCS

Indian Journal of Obstetrics and Gynecology Research (IJOGR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific more...


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Review Article


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1-9


Authors Details

P R Pant*, Uma Shrivastava, Sabina Simkhada, Swasti Sharma, Chetna Shrestha, Usha Shrestha, Tumla Lacoul


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Luteal Phase Defect (LPD): A necessary tool in assisted reproductive techniques


Review Article

Author Details : P R Pant*, Uma Shrivastava, Sabina Simkhada, Swasti Sharma, Chetna Shrestha, Usha Shrestha, Tumla Lacoul

Volume : 8, Issue : 1, Year : 2021

Article Page : 1-9

https://doi.org/10.18231/j.ijogr.2021.001



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Abstract

In Luteal Phase Defect (LPD), endogenous progesterone is insufficient to maintain a functional secretory endometrium and also inhibit embryo growth and implant. In 1960, it was estimated that 20 million pregnancies were exposed to Dydrogesterone in utero. LOTUS I and LOTUS II two major multicenter Phase III studies were conducted on patients who were planning to undergo In Vitro Fertilization (IVF) with or without Intracytoplasmic Sperm Injection (ICSI). The result of both studies shows that Dydrogesterone was non-inferior to micronized vaginal progesterone, which was the presence of fetal heartbeats at 12 weeks
of gestation. Progesterone which can be administered either by oral preparation, vaginal administration along with optimal use of  estrogen and Gonadotropin-Releasing Hormon (GnRH) agonist drugs is used in the treatment of LPD. Studies have suggested the use of Dydrogesterone in fresh IVF cycles and Luteal Phase Support (LPS) is continued till 10–12 weeks. However, it may be stopped at the time of β-hCG becoming positive or visualization of a fetal heartbeat.

Keywords: LPD, LOTUS, Progesterone, GnRH, ART, FET, Dydrogesterone.


How to cite : Pant P R , Shrivastava U , Simkhada S , Sharma S , Shrestha C , Shrestha U , Lacoul T , Luteal Phase Defect (LPD): A necessary tool in assisted reproductive techniques. Indian J Obstet Gynecol Res 2021;8(1):1-9

Copyright © 2021 by author(s) and Indian J Obstet Gynecol Res. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)