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出境医 / 临床实验 / Office Hysteroscopy in Infertility Work-out: the Role of Endometrial Hyperplasia in Southern Italian Women

Office Hysteroscopy in Infertility Work-out: the Role of Endometrial Hyperplasia in Southern Italian Women

Study Description
Brief Summary:
To assess the prevalence of endometrial hyperplasia (EH), endometrial intraepithelial neoplasia (EIN) and endometrial carcinoma between obese and not obese women undergoing IVF techniques for primary or secondary infertility.

Condition or disease Intervention/treatment
Infertility, Female Endometrial Hyperplasia PCOS Procedure: in-office hysteroscopy

Detailed Description:

Endometrial cancer and pre-neoplastic diseases represent the most incident gynecologic malignant pathologies found in women.1 Although diagnosed in postmenopausal patients, it can be also found in younger patients, especially when associated with some risk factors. Those include weight gain and lifestyle habits, such as consumption of fatty foods that increase estrogen levels. The positive association be- tween infertility and EC is well established. Infertile women with irregular menstrual periods, oligomenorrhea, or chronic anovulation have a risk of developing

A prospective cohort study conducted at "Fertility Center, OB/GYN Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy".

Study Design
Layout table for study information
Study Type : Observational
Actual Enrollment : 100 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Office Hysteroscopy in the Infertility Work-out: the Role of Endometrial Hyperplasia in Southern Italian Women
Actual Study Start Date : January 2, 2019
Actual Primary Completion Date : April 21, 2019
Actual Study Completion Date : April 30, 2019
Arms and Interventions
Group/Cohort Intervention/treatment
Primary Infertility
Women with a diagnosed primary infertility undergoing hysteroscopy before IVF.
Procedure: in-office hysteroscopy
in-office hysteroscopy with miniaturized instruments

Secondary Infertility
Women with a diagnosed secondary infertility undergoing hysteroscopy before IVF.
Procedure: in-office hysteroscopy
in-office hysteroscopy with miniaturized instruments

Recurrent miscarriages
Women with recurrent miscarriages undergoing hysteroscopy before IVF.
Procedure: in-office hysteroscopy
in-office hysteroscopy with miniaturized instruments

Outcome Measures
Primary Outcome Measures :
  1. Prevalence of endometrial hyperplasia [ Time Frame: 12 months ]
  2. Hormonal levels [ Time Frame: 12 months ]

Secondary Outcome Measures :
  1. Operator's learning curve with cumulative summation test (questionnaire) [ Time Frame: 12 months ]
    assess the learning curve (LC) using cumulative summation test for learning curve (LC-CUSUM).


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   Child, Adult, Older Adult
Sampling Method:   Non-Probability Sample
Study Population
Southern Italian women eager for children who are set for infertility work-up at a tertiary university hospital
Criteria

Inclusion Criteria:

  • Women undergoing office hysteroscopy prior to IVF techniques

Exclusion Criteria:

  • Severe comorbidities (i.e. cardiac, metabolic, neurologic diseases)
Contacts and Locations

Locations
Layout table for location information
Italy
Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli"
Naples, Italy, 80138
Sponsors and Collaborators
University of Campania "Luigi Vanvitelli"
Tracking Information
First Submitted Date May 21, 2019
First Posted Date May 29, 2019
Last Update Posted Date May 29, 2019
Actual Study Start Date January 2, 2019
Actual Primary Completion Date April 21, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 26, 2019)
  • Prevalence of endometrial hyperplasia [ Time Frame: 12 months ]
  • Hormonal levels [ Time Frame: 12 months ]
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: May 26, 2019)
Operator's learning curve with cumulative summation test (questionnaire) [ Time Frame: 12 months ]
assess the learning curve (LC) using cumulative summation test for learning curve (LC-CUSUM).
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Office Hysteroscopy in Infertility Work-out: the Role of Endometrial Hyperplasia in Southern Italian Women
Official Title Office Hysteroscopy in the Infertility Work-out: the Role of Endometrial Hyperplasia in Southern Italian Women
Brief Summary To assess the prevalence of endometrial hyperplasia (EH), endometrial intraepithelial neoplasia (EIN) and endometrial carcinoma between obese and not obese women undergoing IVF techniques for primary or secondary infertility.
Detailed Description

Endometrial cancer and pre-neoplastic diseases represent the most incident gynecologic malignant pathologies found in women.1 Although diagnosed in postmenopausal patients, it can be also found in younger patients, especially when associated with some risk factors. Those include weight gain and lifestyle habits, such as consumption of fatty foods that increase estrogen levels. The positive association be- tween infertility and EC is well established. Infertile women with irregular menstrual periods, oligomenorrhea, or chronic anovulation have a risk of developing

A prospective cohort study conducted at "Fertility Center, OB/GYN Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy".

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Southern Italian women eager for children who are set for infertility work-up at a tertiary university hospital
Condition
  • Infertility, Female
  • Endometrial Hyperplasia
  • PCOS
Intervention Procedure: in-office hysteroscopy
in-office hysteroscopy with miniaturized instruments
Study Groups/Cohorts
  • Primary Infertility
    Women with a diagnosed primary infertility undergoing hysteroscopy before IVF.
    Intervention: Procedure: in-office hysteroscopy
  • Secondary Infertility
    Women with a diagnosed secondary infertility undergoing hysteroscopy before IVF.
    Intervention: Procedure: in-office hysteroscopy
  • Recurrent miscarriages
    Women with recurrent miscarriages undergoing hysteroscopy before IVF.
    Intervention: Procedure: in-office hysteroscopy
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: May 26, 2019)
100
Original Actual Enrollment Same as current
Actual Study Completion Date April 30, 2019
Actual Primary Completion Date April 21, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Women undergoing office hysteroscopy prior to IVF techniques

Exclusion Criteria:

  • Severe comorbidities (i.e. cardiac, metabolic, neurologic diseases)
Sex/Gender Not Provided
Ages Child, Adult, Older Adult
Accepts Healthy Volunteers Not Provided
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Italy
Removed Location Countries  
 
Administrative Information
NCT Number NCT03965585
Other Study ID Numbers N.593
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Prof. Pasquale De Franciscis, University of Campania "Luigi Vanvitelli"
Study Sponsor University of Campania "Luigi Vanvitelli"
Collaborators Not Provided
Investigators Not Provided
PRS Account University of Campania "Luigi Vanvitelli"
Verification Date May 2019