Table 1.
Country | N | Patients’ age (years) | Treatment | Embryo stage | Outcome (rates) | |||
---|---|---|---|---|---|---|---|---|
hCG group | Control group | hCG group | Control group | |||||
Mansour et al. [3] | Egypt | 100 IU hCG: 83 200 IU hCG: 84 500 IU hCG: 107 |
Control 1: 93 Control 2: 105 |
≤ 40 | 100, 200, and 500 IU hCG in 0.04 ml culture medium 7 min before ET | No hCG or culture medium | Day 2 or 3, cleavage stage | Clinical pregnancy, implantation, miscarriage, delivery |
Hong et al. [14] | New Jersey | 148 | 1152 | < 43 | 500 IU hCG (purified urinary) in 0.02 ml culture media less than 3 min before ET |
0.02 ml culture media without hCG |
Day 6, fresh or frozen, blastocyst stage | Sustained implantation, ongoing pregnancy |
Zarei et al. [15] | Iran | 84 | 98 | 18–40 | rhCG 250 μg (0.5 ml), 12 min before ET |
0.5 ml normal saline instead of hCG, 12 min before ET | Day 3, cleavage stage | Implantation, clinical pregnancy, ongoing pregnancy, abortion and ectopic pregnancy |
Aaleyasin et al. [16] | Iran | 240 | 243 | < 40 | 500 IU hCG (urinary) in 0.05 ml culture media 5–7 min before ET |
0.05 ml culture media without hCG |
Day 2 or 3, cleavage stage | Implantation, clinical pregnancy, spontaneous, abortion, live birth rate |
Wirleitner et al. [5] | Austria | Cohort A: 89 Cohort B: 510 |
Cohort A: 93 Cohort B: 494 |
≤ 43 | 500 IU hCG in 0.04 ml of culture media, cohort A infusion on Day 3 after ovum pick-up; cohort B infusion 3 min before ET | 0.04 ml culture medium without hCG |
Day 5, blastocyst, SET or DET | Pregnancy, clinical pregnancy, implantation, live birth rate, miscarriage |
Navali et al. [8] | Iran | 71 | 67 | ≤ 41 | 500 IU: 0.1 ml (500 IU hCG) and 0.4 ml normal saline were given via insulin syringe immediately after oocyte retrieval | 0.5 ml normal saline instead of hCG | Day 3 | Biochemical pregnancy, clinical pregnancy, implantation, ongoing pregnancy, abortion, ectopic pregnancy |
hCG human chorionic gonadotropin, rhCG recombinant human chorionic gonadotropin, ET embryo transfer, SET single embryo transfer, DET double embryo transfer