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CompletedNCT03463005Updated Mar 13, 2018

The Effect of Royal Vaginal Gel Compared to IUI Technique on Fertility Rate of Women With Low-fertility Husbands

An interventional study of Royal jelly and IUI in Asthenozoospermia, sponsored by Gonabad University of Medical Sciences. Completed. Per ClinicalTrials.gov, last updated 2018-03-13.

Sponsored by Gonabad University of Medical Sciences · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Sex
All
01

Study summary

The present Pocock clinical trial study was conducted In the city of Mashhad in Iran between 2015 and 2016. The study inclusion criteria were men with low fertility of sperm motility\<25% and total motility \<50% (asthenozoospermia), no history of endocrine diseases, no diabetes men, no hormonal problems in their wives, and a healthy salpingography in their wives. The study subjects were voluntarily assigned to royal gel and IUI groups. In royal gel group, 5 grams of royal gel was used after menstruation and every other night before and after intercourse. IUI group received 75 units of FSH from the second day of the cycle. Then vaginal ultrasound was performed from the sixth day of menstrual cycle to determine the right size of follicle. 10000 units of HCG was administered when follicle diameter reached 16mm, and the study subject was prepared for IUI 32-36 hours later. Each subject alternately swapped groups following fertility failure.

Read the detailed description

After selection of subjects and obtaining their informed consents, the quality of royal gel was examined.

The quality of royal gel is determined by the amount of polyphenol it contains. Polyphenol in royal gel was assessed in the following stages: first, the sample was diluted with ethanol 50% to 1:10 ratio, and then, 100µl of this preparation was poured into a test tube, and 750µl of 1:10 diluted solution of FCR (Folin Ciocalteau Reagent) was added and left at room temperature for five minutes. Then, 750µl of sodium carbonate 6% solution was added to each tube, and after keeping these tubes in the dark for one hour, absorption was measured at 780nm wavelength. Negative control consisted of all reaction compounds, except the sample, for which, ethanol 50% was used instead. The sample concentration was determined using the gallic acid standard. By definition, the desirable quality of polyphenol in natural royal gel ranges from 0.15mg (minimum) to 0.75mg (maximum) in every 100 grams, and this was determined 0.5 mg for the sample used in the present study, indicating a good quality (15).

02

Conditions studied

  • Asthenozoospermia

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03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male-factor infertility (defined as total sperm motility\<40% and sperm motility\<20%)
  • Normal hormonal profile in women
  • Normal hysterosalpingography report
  • Regular sexual relationships

Exclusion criteria

Exclusion Criteria:

  • Ovulation dysfunction
  • History of sexually transmitted diseases in women and men
  • Hormonal disorders in men and women
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Royal jelly

    The study subjects included healthy women who had husbands with male-factor infertility problems.

    Other: Royal jelly

  • Active comparator
    IUI group

    The study subjects included in IUI group were healthy women who had husbands with male-factor infertility problems.

    Procedure: IUI

Interventions

  • OtherRoyal jelly

    The study subjects in the Royal jelly group used 10 ml of the vaginal Royal jell few minutes before and few minutes after intercourse one day after the end of menstruation for two weeks.

    Also known as: Complementary group

  • ProcedureIUI

    Subjects in IUI group received 75 units of FSH from the second day of the cycle.

05

What researchers measure

Primary outcomes

  1. Occurrence of pregnancy

    Occurrence of pregnancy be detected by B-HCG test

    Time frame: Three months after intervention

Secondary outcomes

  1. confirmation of pregnancy

    Abdominal sonography to approve pregnancy and visit embryo sac.

    Time frame: Three months after intervention

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03463005
Lead sponsor
Gonabad University of Medical Sciences
Collaborators
Mashhad University of Medical Sciences
Responsible party
Narjes Bahri (Dr Narjes Bahri, Gonabad University of Medical Sciences) — Principal investigator
First posted
Mar 13, 2018
Start date
Jan 1, 2016
Primary completion
Sep 20, 2017
Completion
Dec 10, 2017
Last update
Mar 13, 2018

Study contacts

Tahereh Fathi Najafi, Instructor
study director · Midwifery department, Islamic Azad Medical University, Mashhad branc, Mashhad, Iran

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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