Summary: This study aimed to evaluate the impact of serum prolactin concentration at the day of human chorio nic gonadotropin (HCG) administration on the clinical outcome of in vitro fertilization and embryo transfer (IVF-ET). A total of 184 patients receiving the IVF-ET/ICSI-ET from Octo ber 2005 to March 2008 were retrospectively analyzed. Sub jects were divided into four groups according to the serum prolactin concentration [<30 ng/mL (A), 30-60 ng/mL (B), 60-90 ng/mL (C), ≥90 ng/mL (D)] on the day of HCG administration during controlled ovarian stimulation (COS). In the Groups A, B, C and D, the implantation rate was 11.76%, 19.71%, 12.72% and 2.22%, respectively, and the pregnancy rate (PR) was 25.00%, 42.70%, 27.30% and 5.88%, respectively. The implantation rate and PR in the Group D were markedly lower than those in the remaining groups (P=0.011 and 0.009). During the COS, the serum prolactin concentration was dramatically elevated when compared with the base line level leading to transient hyperprolactinemia. In addition, the implantation rate and pregnancy rate were significantly markedly decreased when the serum prolactin concentration was remarkably increased (≥90 ng/mL). To improve the clinical pregnancy rate of IVF-ET, close monitoring and appropriate intervention are needed for patients with an abnormal prolactin level during the COS.Keywords: hyperprolactinemia, in vitro fertilization and embryo transfer, human chorionic gonadotropin, clinical pregnancy Kratak sadr`aj: Ova studija sprovedena je kako bi se procenio uticaj koncentracije prolaktina u serumu na dan administracije humanog horionskog gonadotropina (HCG) na klini~ki ishod in vitro oplodnje i transfera embriona (IVF-ET). Retrospektivna analiza je obuhvatila ukupno 184 pacijenta podvrgnuta IVF-ET/ICSI-ET izme|u oktobra 2005. i januara 2008. Ispitanici su podeljeni u ~etiri grupe na osnovu koncentracije prolaktina u serumu [<30 ng/mL (A), 30-60 ng/mL (B), 60-90 ng/mL (C), ≥90 ng/mL (D)] na dan administracije HCG tokom kontrolisane stimulacije jajnika (COS). U grupama A, B, C i D stopa implantacije bila je 11,76%, 19,71%, 12,72% i 2,22%, dok je stopa ostvarenih trudno}a (PR) bila 25,00%, 42,70%, 27,30% i 5,88%. Stopa im plantacije i PR u grupi D bile su upadljivo ni`e nego u ostalim grupama (P=0,011 i 0,009). Tokom COS, koncentra cija prolaktina u serumu bila je dramati~no povi{ena u pore|enju sa po~etnim nivoom, {to je dovelo do prolazne hiperprolaktinemije. Pored toga, stopa implantacije i stopa ostvarenih trudno}a bile su zna~ajno i upadljivo ni`e kada je koncentracija prolaktina u serumu bila izrazito povi{ena. Pa`ljivo pra}enje i odgovaraju}e intervencije potrebni su kako bi se pobolj{ala klini~ka stopa ostvarenih trudno}a u IVF-TE kod pacijenata sa abnormalnim nivoom prolaktina tokom kontrolisane stimulacije jajnika.Klju~ne re~i: hiperprolaktinemija, ve{ta~ka oplodnja i transfer embriona, humani horionski gonadotropin, klini~ka trudno}a List of abbreviations: PRL -prolactin, IVF-ET -in vitro fertilization and embryo transfer, COS -cont...