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1st Visit (ET day)
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AGE
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BMI
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Endometrial Thickness-
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Infertility type
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- 1ry
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-2ry
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Duration of infertility
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Menstrual pattern
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- regular
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- irregular
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Infertility factor
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-anovulation
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-endometriosis
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-male factor
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-tubal factor
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-other
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Type of cycle:
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IVF
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ICSI
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IVF/ ICSI
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Patient choice:
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- Cyclogest
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- Gestone
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2nd Visit (Preg. test day)
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-Pregnancy test:
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-ve
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+ ve
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-Was the type of progesterone changed?
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YES
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NO
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-Side effects:-
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Perineal irritation
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Rectal itching
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Vaginal bleeding
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Vaginal or rectal leaking or discharge
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Constipation
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Discomfort after administration
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Hematoma formation
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Other
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-Patient’s compliance:
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-Patients satisfaction: 1(least satisfaction), 2, 3, 4, 5 (most satisfaction)
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3rd Visit (U/S day, 7 wks. Preg.)
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-Was the type of Progesterone changed?
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YES
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NO
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-Side effects:
|
|
Perineal irritation
|
|
Rectal itching
|
|
Vaginal bleeding
|
|
Vaginal or rectal leaking or discharge
|
|
Constipation
|
|
Discomfort after administration
|
|
Hematoma formation
|
|
Other
|
|
-Patient’s compliance:
|
|
-Patients satisfaction: 1(least satisfaction), 2, 3, 4, 5 (most satisfaction)
|
|
-Pregnancy outcome:
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• Biochemical
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• Clinical
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