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- W2975424571 abstract "The endometrium is a highly dynamic tissue that undergoes cyclic cellular proliferation, differentiation, and immune cell trafficking in response to circulating ovarian-derived steroids. The goal for the present study was to prove the hypothesis that beetroot, watermelon and ginger juice supplementation would improve the endometrial receptivity and clinical outcomes of intracytoplasmic sperm injection (ICSI) cycles. Prospective randomized study. This study enrolled 296 female patients undergoing ICSI cycles from Jan/2017 to Jan/2018, in a private university–affiliated IVF center. The sample size calculation suggested that 265 cycles would be enough to demonstrate a 20% effect with 90% power and 5% significance level considering as primary outcome clinical pregnancy rate. Female patients were randomized in a 1:3 ratio to either Control (n=74) or Supplementation Group (n=222). All patients received nutritional orientation before the beginning of the treatment. Participants in the Supplementation Group were instructed to intake a daily dose of homemade juice, prepared with fresh beetroot, watermelon and ginger, from the day of embryo transfer until the day of pregnancy test, while patients in Control Group did not follow the juice protocol. Generalized Linear Models, adjusted for potential confounders (female age, body mass index - BMI, endometrial thickness upon embryo transfer, and number of transferred embryos), followed by Bonferroni post hoc test for the comparison of means between groups, were used to investigate the impact of juice supplementation on the clinical outcomes of ICSI. Similar maternal and paternal ages, maternal BMI, number of follicles, number of retrieved and mature oocytes, fertilization rates, embryo development rates, blastocyst development rates, and number of transferred embryos were observed between the Supplementation and Control groups. Implantation rate (24.2% vs. 17.8%, p<0.001) and clinical pregnancy rate (41.0% vs. 21.6%, p: 0.039) were significantly higher in the Supplementation compared to Control group. A significant difference in miscarriage rate was noted between the Supplementation and Control groups (0.0 % vs. 18.0%, p <0.001). Beetroot contains nitric oxide, which dilates blood vessels allowing a rich supply of oxygenated, nutrient-rich blood to flow to the uterus. Therefore its intake starting on embryo transfer day may improve embryo implantation into the uterus." @default.
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- W2975424571 date "2019-09-01" @default.
- W2975424571 modified "2023-10-18" @default.
- W2975424571 title "Beetroot, watermelon and ginger juice supplementation may increase the clinical outcomes of intracytoplasmic sperm injection cycles" @default.
- W2975424571 doi "https://doi.org/10.1016/j.fertnstert.2019.07.1334" @default.
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