A Hormone's hidden power: could progesterone be the key to unexplained infertility?
NCT ID NCT07738068
First seen Jul 30, 2026 · Last updated Jul 31, 2026 · Updated 1 time
Summary
This phase 3 trial investigates whether taking progesterone during the luteal phase of the menstrual cycle can increase the chance of a live birth for couples with unexplained infertility. Participants take either progesterone or a placebo twice daily for up to six months while tracking their cycles at home. The study aims to answer whether this simple hormone support can make a difference when no other cause for infertility is found.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- progesterone (Utrogestan 200 mg soft capsules)
- What this could lead to
- If effective, progesterone could offer a simple, low-cost treatment to improve pregnancy chances for couples with unexplained infertility.
- What could go wrong
- This is a phase 3 trial, but previous smaller studies have shown mixed results. Progesterone may not increase live birth rates and could cause side effects like drowsiness or bloating.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 640 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 43 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Primary or secondary infertility for at least a period of 1 year Participants whose previous pregnancy was achieved through MOH-IUI or IVF are eligible to join the study, provided they are willing to continue expectant management for at least six months before considering any further fertility interventions * Diagnosis of UI after infertility work-up, i.e. * regular menstrual cycle ranging between 21-35 days, * total motile sperm count ≥ 10 million/ml, * no risk of tubal pathology (or in case of increased risk, tubal pathology uitgesloten middels tubal patency testing) * A Hunault prognostic score ≥ 30% (calculated using the Hunault prediction model7, based on key prognostic factors including female age, subfertility duration, type of subfertility (primary or secondary), sperm motility and referral status), * Assignment to expectant management during at least six months, in accordance with Dutch NVOG Guidelines (4). * Female age ≥18 years old Female * BMI \<45 kg/m2 Exclusion Criteria: * Uncorrected uterine factors, such as endometrial polyps or submucosal fibroids, * Insufficient knowledge or understanding of the Dutch or English language and not willing or able to receive study information via a certified translator * Not able or willing to provide (written) informed consent * Contraindications for vaginal progesterone, in particular: females with allergy to peanuts or soya. * Formal diagnosis of endometriosis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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