ABSTRACT
The main objective of this study was to compare the pregnancy rates of intramuscular (IM) 17-α-hydroxyprogesterone caproate (17-HPC) and intravaginal (IV) progesterone gel administration in in vitro fertilization-embryo transfer (IVF-ET) cycles. The IM 17-HPC and IV progesterone groups included 632 (66.4%) and 320 (33.6%) women undergoing the first cycles of IVF-ET treatment, respectively. Multivariate analyses annotated for all potential confounders showed that the use of IV progesterone retained a predictive value for the total ß-human chorionic gonadotropin (hCG) positivity and clinical pregnancy rates [adjusted odds ratio (OR), 1.97; 95% confidence interval (CI), 1.28-3.03; P=0.002; and OR, 1.66; 95% CI, 1.07-2.60; P=0.03, respectively]. However, biochemical and on-going pregnancy rates did not differ significantly between the groups (OR, 1.85; 95% CI, 1.00-3.41; P=0.05; and OR, 1.43, 95% CI, 0.89-2.30; P=0.14, respectively). Luteal phase support (LPS) with IV progesterone gel in comparison with IM 17-HPC appears to be associated with higher clinical pregnancy rates in IVF-ET cycles. However, this benefit is clinically irrelevant in terms of on-going pregnancy outcomes.
ABSTRACT
In this study, organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) levels were determined in 100 human milk samples from the city of Antalya. The levels of seven major PCB congeners; 28, 52, 101, 118, 138, 153, 180 and nine OCPs, α-HCH, ß-HCH, γ-HCH, HCB, heptachlor epoxide, p.p'-DDT, p,p'-DDE, endosulfan-α and endosulfan-ß were determined by gas chromatography with ECD detection. The levels of analyzed compounds were as follows: ΣPCBs 27.46 ± 11.58, ΣDDT 1,407 ± 123, and ΣBHC 160 ± 490 ng/g lipid wt.basis. PCB 153 and p,p'-DDE were the dominant contaminants. The results have been discussed and compared with similar studies from other regions of Turkey.
