Effect of dydrogesterone drug on physiological parameters in women with recurrent pregnancy loss

Abstract

Three successive pregnancy losses before 20 weeks have passed since the last menstrual cycle are considered Recurrent Pregnancy Loss (RPL). Progesterone is crucial for the initiation and maintenance of pregnancy. Due to its well-established safety profile, hormonal therapy with dydrogesterone (Duphaston) is used globally to support luteal function and lower the risk of pregnancy loss in women with URPL. Aim. Estimate the concentration of progesterone, estradiol, progesterone induce blocking factor and epithelial - cadherin in women's with RPL compared to control (fertile women) and known the correlation between them. Methods. Blood samples obtained from (70) women with RPL (35 RPL without treatment and 35 RPL with treatment) from different infertility clinics in Iraq. Also, 36 fertile women's as control. All groups are matched in BMI and age. Result. The concentration of these hormones were significantly decrease (p<0.05) between RPL patients without treatment and controls. While, shown increase of all parameters level in RPL patients with treatment compared with RPL patients without treatment. Regarding the results of correlation were positive correlations between these parameters in patients with treatment and without treatment. Conclusion. This study indicates the importance of dydrogesterone and their positive role in an increasing of hormones level in blood and then lead to increase of other proteins concentrations in patients.

Keywords

• recurrent pregnancy loss
• rpl
• progesterone
• p4
• estradiol
• dydrogesterone
• pibf
• e-cadherin