Coagulation tests at trigger day in patients with Factor V Leiden Mutation to predict implantation failure

Belgin Devranoglu; Cigdem Yayla Abide; Enis Ozkaya; Taylan Senol; Tayfun Kutlu; Semra Kayatas Eser

doi:10.21613/GORM.2017.754

Authors

Belgin Devranoglu Zeynep Kamil Women and Children’s Health Training and Research Hospital
Cigdem Yayla Abide Zeynep Kamil Women and Children’s Health Training and Research Hospital
Enis Ozkaya Zeynep Kamil Women and Children’s Health Training and Research Hospital
Taylan Senol Zeynep Kamil Women and Children’s Health Training and Research Hospital
Tayfun Kutlu Zeynep Kamil Women and Children’s Health Training and Research Hospital
Semra Kayatas Eser Zeynep Kamil Women and Children’s Health Training and Research Hospital

DOI:

https://doi.org/10.21613/GORM.2017.754

Keywords:

faktor V Leiden mutation, thrombophilia, embriyo implantation, clinical pregnancy.

Abstract

Objectives: The aim of this study was to assess the predictive value of coagulation tests at trigger day in patients with isolated factor V Leiden mutation who underwent intracytoplasmic sperm injection cycle (ICSI).

Study Design: Ninety women with isolated factor V Leiden mutation underwent ICSI cycles with an indication of unexplained infertility. In all participants antagonist protocol was used for ovarian hyperstimulation and coagulation tests including activated partial thromboplastin time (APTT), partial thromboplastin time (PT), international normalized ratio (INR), serum fibrinogen and D-dimer levels at trigger day were determined to predict successful implantation. All the clinical parameters specific for the treatment and some patient characteristics were recorded for each participants.

Results: There was no significant difference between groups with and without succesfull implantation in terms of age, body mass index, basal hormone levels (follicle stimulating hormone, estradiol, progesterone at day 3 and antimullerian hormone) (P > 0.05). Estradiol and progestrone levels at trigger day were comparable between groups (P > 0.05). Groups had similar endometrial thickness at embryo transfer day (P > 0.05). Some ovarian stimulation characteristics including initial gonadotropin dose, number of follicles > 17 mm, number of oocytes harvested and number of embryos were similar between groups (P > 0.05). Although there was no significant difference between groups with regard to APTT and PT levels, INR level were significantly lower while D-dimer levels and fibrinogen were significantly higher in cases without implantation (P < 0.05).

Conclusion: D-dimer, fibrinogen and INR levels were significant predictors for successful implantation in women with isolated factor V Leiden who underwent ovulation hyperstimulation.