All Publications


  • EFFECT OF ESTRADIOL SUPPLEMENTATION ON PREGNANCY OUTCOMES IN PATIENTS WITH THIN ENDOMETRIAL LINING UNDERGOING INTRAUTERINE INSEMINATION. McCracken, M., Zhang, W. Y., Dominguez, L. V., Zhang, A., Johal, J. J., Aghajanova, L. ELSEVIER SCIENCE INC. 2024: E74-E75
  • The impact of estradiol supplementation on endometrial thickness and intrauterine insemination outcomes. Reproductive biology Zhang, W. Y., McCracken, M., Dominguez, L. V., Zhang, A., Johal, J., Aghajanova, L. 2024; 24 (2): 100886

    Abstract

    The impact of estrogen supplementation during the follicular/proliferative phase on the endometrial lining thickness (EMT) prior to intrauterine insemination (IUI) remains largely unstudied. Our study examined changes in EMT and rates of clinical pregnancy, miscarriage, and live birth for all patients who completed an IUI cycle at Stanford Fertility Center from 2017-2023 (n = 2281 cycles). Cycles with estradiol supplementation (n = 309) were compared to reference cycles without supplementation (n = 1972), with the reference cohort further categorized into cycles with a pre-ovulatory EMT of < 7 mm ("thin-lining", n = 536) and ≥ 7 mm ("normal-lining", n = 1436). The estradiol group had a statistically significant greater change in EMT from baseline to ovulation compared to the thin-lining reference groups (2.4 mm vs 1.9 mm, p < =0.0001). Similar rates of clinical pregnancy and live birth were observed. After adjusting for age, BMI, race/ethnicity, infertility diagnosis, and EMT at trigger, the estradiol cohort had a significantly increased odds of miscarriage versus the entire reference cohort (2.46, 95 % confidence interval [1.18, 5.14], p = 0.02). Thus, although estradiol supplementation had a statistically significant increase in EMT compared to IUI cycles with thin pre-ovulatory EMT (<7 mm), this change did not translate into improved IUI outcomes such as increased rates of clinical pregnancy and live birth or decreased rate of miscarriage. Our study suggests that supplemental estradiol does not appear to improve IUI outcomes.

    View details for DOI 10.1016/j.repbio.2024.100886

    View details for PubMedID 38636264

  • Maternal congenital heart disease and effects on neonatal outcomes: the other side of the dyad Ramirez, N., Panelli, D. M., Padron, E., Dominguez, L., Miller, S. E., Beshar, I., Lee, C. J., Bianco, K. MOSBY-ELSEVIER. 2023: S554-S555
  • Effects of Adverse Childhood Experiences on Perinatal Outcomes in Patients with Cardiac Disease: A Pilot Study Ramirez, N., Panelli, D. M., Padron, E., Dominguez, L., Lee, C. J., Mayo, J., Khandelwal, A., Bianco, K. SPRINGER HEIDELBERG. 2023: 217A
  • Preterm Birth Doubles in a Cardiac Affected Population: The Added Factor of Maternal Depression Beshar, I. E., Panelli, D., Lee, C. J., Dominguez, L., Padron, E., Ramirez, N., Ansari, J., Khandelwal, A., Bianco, K. SPRINGER HEIDELBERG. 2023: 213A-214A