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Trial registered on ANZCTR
Registration number
ACTRN12625000482460p
Ethics application status
Submitted, not yet approved
Date submitted
19/01/2025
Date registered
19/05/2025
Date last updated
19/05/2025
Date data sharing statement initially provided
19/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Endometriosis related symptoms during In Vitro Fertilization (IVF) : a prospective nonrandomized study
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Scientific title
A comparison of the severity and worsening symptoms of endometriosis related IVF patients Vs. non endometriosis related IVF patients during ovarian stimulation
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Secondary ID [1]
313756
0
Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
endometriosis
336356
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Condition category
Condition code
Reproductive Health and Childbirth
332890
332890
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0
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Fertility including in vitro fertilisation
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Reproductive Health and Childbirth
332891
332891
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational study on IVF patients undergoing ovarian stimulation for reproductive, medically acceptable, reasons- research group includes patients with endometriosis and control group includes patients with no diagnosis or clinical suspicion of endometriosis.
The medical process is according to acceptable IVF protocols. To evaluate our hypothesis we will use questionnaires regarding the degree of different symptoms, using a VAS score, during the time of ovarian stimulation at several key points during the process as follow:
1. The day they joined the study
2. Five days after initiation of ovarian stimulation
3. The day of oocyte retrieval
4. One month after oocyte retrieval.
** the questionnaires will take approximately 10 minutes to answer each time.
Total observation time is 2-3 month (depends on the time between the enlistment date and the oocyte retrieval).
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Intervention code [1]
330337
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Not applicable
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Comparator / control treatment
The control group are patients undergoing IVF treatment for medical indications that are not endometriosis or endometriosis suspicious reasons.
for example- patient undergoing age related fertility preservation, sperm donation, male factor infertility etc.
Patients with mechanical infertility, unexplained infertility or endometriosis related suspicious symptoms will not be included in the control group
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Control group
Active
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Outcomes
Primary outcome [1]
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The exacerbation rate of endometriosis related symptoms before and after ovarian stimulation for patients with endometriosis and patients without endometriosis
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Assessment method [1]
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Assessment will be made using a questionnaire of symptoms rated in a visual analog scale of 1-10
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Timepoint [1]
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the assessment will be made at 4 time dependent points: the day of research initiation, 5 days after beginning ovarian stimulation, the day of oocyte retrieval and 1 month post oocyte retrieval.
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Secondary outcome [1]
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the percentage of patients reporting on worsening symptoms before and after ovarian stimulation in both study and control groups.
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Assessment method [1]
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questionnaire assessing the severity of the symptoms filled before and after ovarian stimulation. the questionnaires were designed especially for this study and are based on the common symptoms of endometriosis and the rate of their severity using a VAS scale (Visual Analogue Scale). the questionnaires are written in Hebrew for the majority of the participantes who are a native Hebrew speakers.
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Timepoint [1]
443991
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the assessment will be made at 4 time dependent points: the day of research initiation, 5 days after beginning ovarian stimulation, the day of oocyte retrieval and 1 month post oocyte retrieval.
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Eligibility
Key inclusion criteria
all patients undergoing IVF / ovarian stimulation for acceptable medical indications for their own free will can participate in this study according to the following devision:
Inclusion criteria for the research group- patients with a surgical or imaging diagnosis of endometriosis.
Inclusion criteria for the control group- Patients without diagnosis of endometriosis
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
general exclusion criteria are- patients planning an immediate pregnancy, patients with othe pain disorders (such as fibromialgia), patients disappearing from the neccessery 1 month post retrieval follow-up.
in addition, to following exclusion criteria are:
exclusion criteria for the research group- Patients with only a clinical suspicion of endometriosis, without a surgical or imaging proof of it.
exclusion criteria for the control group- patients with mechanical related infertility, patients with unexplained infertility, patients suffering from symptoms suspicious for endometriosis (as assessed by a simple questionnaire filled at the day of enrollment).
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
1/03/2026
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Actual
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Date of last data collection
Anticipated
1/05/2026
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26832
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Israel
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State/province [1]
26832
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Funding & Sponsors
Funding source category [1]
318210
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Hospital
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Name [1]
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The stuff of the fertility and gynecology department of Hadassah medical center
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Address [1]
318210
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Country [1]
318210
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Israel
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Primary sponsor type
Hospital
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Name
Hadassah medical center
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Address
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Country
Israel
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Secondary sponsor category [1]
320598
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None
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Name [1]
320598
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Address [1]
320598
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Country [1]
320598
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
316859
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The hadassah Helsinki ethics committee
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Ethics committee address [1]
316859
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vhelsinki@hadassah.org.il
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Ethics committee country [1]
316859
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Israel
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Date submitted for ethics approval [1]
316859
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22/12/2024
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Approval date [1]
316859
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Ethics approval number [1]
316859
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HMO-0533-24
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Summary
Brief summary
It has been suggested that endometriosis, being a hormone dependent disease, is worsening during ovarian stimulation treatments. several studies observed the imaging and clinical effects of these treatments but none of which investigated this worsening in comparison to general population. Our study aims to confirm or refute the assumption that endometriosis patients suffer more during ovarian stimulation. should we confirm this finding- that can be the bases of new field of research aiming to tailor a proper ovarian stimulation treatment for this population.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Efrat Shekel
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Address
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Dr. Efrat Shekel, Hadassah medical center. address- department of obstetrics and gynecology, Ein Karem campus, Kalman Yaakov Man street, Jerusalem, Israel, Postal code 9112001, mail box 12000
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Country
139226
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Israel
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Phone
139226
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+972507680404
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Fax
139226
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Email
139226
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[email protected]
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Contact person for public queries
Name
139227
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Efrat Shekel
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Address
139227
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Dr. Efrat Shekel, Hadassah medical center. address- department of obstetrics and gynecology, Ein Karem campus, Kalman Yaakov Man street, Jerusalem, Israel, Postal code 9112001, mail box 12000
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Country
139227
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Israel
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Phone
139227
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+972507680404
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Fax
139227
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Email
139227
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[email protected]
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Contact person for scientific queries
Name
139228
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Efrat Shekel
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Address
139228
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Dr. Efrat Shekel, Hadassah medical center. address- department of obstetrics and gynecology, Ein Karem campus, Kalman Yaakov Man street, Jerusalem, Israel, Postal code 9112001, mail box 12000
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Country
139228
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Israel
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Phone
139228
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+972507680404
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Fax
139228
0
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Email
139228
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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