LUMO Study: Luteal Phase Support in IUI Mild Ovarian Hyperstimulation Treatment
Led by UMC Utrecht · Updated on 2025-12-31
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82 weeks
Total Duration
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What this Trial Is About
The LUMO study is a randomized controlled trial conducted at multiple centers including academic and non-academic hospitals and fertility clinics in The Netherlands. It evaluates the effect of luteal phase support (LPS) in couples undergoing intrauterine insemination (IUI) with mild ovarian hyperstimulation (MOH) for unexplained infertility. The purpose is to assess whether LPS improves pregnancy outcomes, including live birth rates, compared to placebo over a six-month treatment period.
Participants are randomly assigned to one of two groups: one receives MOH/IUI treatment with luteal phase support using vaginal progesterone capsules (3 times daily, 200 mg each), starting on the day of IUI and continuing until menstruation, negative pregnancy test, miscarriage, or confirmation of a viable pregnancy at 7 weeks. The other group receives MOH/IUI treatment with a placebo vaginal capsule on the same schedule. The ovarian stimulation and insemination follow standard protocols, with monitoring for follicle development and ovulation triggering.
During the study, participants will be monitored for pregnancy within six months, with the main outcome being live birth. Secondary outcomes include clinical pregnancy rate, miscarriage rate, multiple pregnancy rate, pregnancy complications, perinatal outcomes, side effects, therapy compliance, medication costs, and budget impact. Evaluations will include regular pregnancy testing and follow-up until pregnancy status is confirmed or menstruation occurs. The total study duration for each participant is six months of treatment with follow-up on pregnancy outcomes.
CONDITIONS
Brief Title
Luteal Phase Support in IUI MOH Treatment Luteal Phase Support in IUI MOH Treatment
Who Can Participate
Age: 18Years +
FEMALE
Eligibility Criteria
You may qualify if you...
Couples starting intrauterine insemination (IUI) with mild ovarian hyperstimulation (MOH) intending to continue treatment for at least six months
Diagnosis of unexplained (primary or secondary) infertility
Hunault score less than 30% or greater than 30% after at least six months of expectant management
Female aged over 18 years with a regular menstrual cycle
Partner's total mobile sperm count over 10 million
You will not qualify if you...
Irregular menstrual cycles
Male factor infertility
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 6 months
Participants receive mild ovarian hyperstimulation and intrauterine insemination (IUI). Those in the treatment group start luteal phase support with vaginal progesterone capsules on the day of IUI. Treatment continues until menstruation, a negative pregnancy test, miscarriage, or confirmed pregnancy at 7 weeks gestation.
1 visit per cycle for insemination and monitoring over 6 months
Follow-up
Duration - Up to 1 year
Participants are monitored for pregnancy outcomes, side effects, and compliance for up to one year after treatment initiation.
Periodic visits depending on pregnancy status and follow-up assessments
Does luteal phase support in MOH-IUI treatment improve cumulative live birth rates in couples with unexplained subfertility? Study protocol of the LUMO study: a centre, randomised, double-blind, controlled trial with cost-effectiveness analysis.
Emma Preesman, Katja Drechsel, Heleen Crommelin...