Dydrogesterone: pharmacological profile and mechanism of action as luteal phase support in assisted reproduction.


Journal

Reproductive biomedicine online
ISSN: 1472-6491
Titre abrégé: Reprod Biomed Online
Pays: Netherlands
ID NLM: 101122473

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 06 06 2018
revised: 15 08 2018
accepted: 07 11 2018
pubmed: 1 1 2019
medline: 31 3 2020
entrez: 1 1 2019
Statut: ppublish

Résumé

The pharmacological and physiological profiles of progestogens used for luteal phase support during assisted reproductive technology are likely to be important in guiding clinical choice towards the most appropriate treatment option. Various micronized progesterone formulations with differing pharmacological profiles have been investigated for several purposes. Dydrogesterone, a stereoisomer of progesterone, is available in an oral form with high oral bioavailability; it has been used to treat a variety of conditions related to progesterone deficiency since the 1960s and has recently been approved for luteal phase support as part of an assisted reproductive technology treatment. The primary objective of this review is to critically analyse the clinical implications of the pharmacological and physiological properties of dydrogesterone for its uses in luteal phase support and in early pregnancy.

Identifiants

pubmed: 30595525
pii: S1472-6483(18)30602-3
doi: 10.1016/j.rbmo.2018.11.017
pii:
doi:

Substances chimiques

Progestins 0
Dydrogesterone 90I02KLE8K

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

249-259

Informations de copyright

Copyright © 2018 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Auteurs

Georg Griesinger (G)

Department of Gynecological Endocrinology and Reproductive Medicine, University Hospital of Schleswig-Holstein, Ratzeburger Allee 160, 23538 Lübeck, Germany. Electronic address: georg.griesinger@uni-luebeck.de.

Herman Tournaye (H)

Center for Reproductive Medicine, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.

Nick Macklon (N)

Department of Obstetrics and Gynaecology, University of Copenhagen, Zealand University Hospital, Alleen 15, 4180 Soro (Roskilde), Denmark; The London Women's Clinic, 113-115 Harley Street, Marylebone, London W1G 6AP, UK.

Felice Petraglia (F)

Department of Biomedical, Experimental and Clinical Sciences, Obstetrics and Gynecology, University of Florence, Piazzale Brambilla 3, 50134 Florence, Italy.

Petra Arck (P)

Department of Obstetrics and Fetal Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.

Christophe Blockeel (C)

Center for Reproductive Medicine, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.

Peter van Amsterdam (P)

Abbott Healthcare Products B.V., C.J. van Houtenlaan 36, 1381 CP Weesp, the Netherlands.

Claire Pexman-Fieth (C)

Abbott GmbH & Co. KG, Max-Planck-Ring 2, 65205 Wiesbaden, Germany.

Bart Cjm Fauser (BC)

Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands.

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Classifications MeSH