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Endometrial receptivity to embryo implantation has been an enduring bottleneck of the reproductive system in humans. The advent of in vitro fertilization (IVF) opened the possibility to revert to donated oocytes for cases of infertility linked to premature ovarian failure (POF). For being effective, however, donor egg IVF required that the endometrium was rendered receptive with the sole use of the exogenous hormones E2 and progesterone. It is likely that part of the benefit of luteal support with exogenous progesterone is mediated by an effect on the myometrium. The luteal phase is characterized by a state of uterine quiescence that is brought by progesterone secreted by the corpus luteum after ovulation. The impact of uterine contractility on IVF outcome stresses the role of precautions that need to accompany ET in an attempt to minimize the impact the measures themselves have on uterine contractions (UC).
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