A comparative study of three ovulation induction protocols in polycystic ovarian disease patients in an in vitro fertilization/embryo transfer program

This study compares the results of three ovulation induction protocols in polycystic ovarian disease (PCOD) patients undergoing an in vitro fertilization-embryo transfer (IVF-ET) program. A total of 85 cycles was studied. The patients were treated with clomiphene citrate (CC) plus human menopausal g...

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Veröffentlicht in:Journal of assisted reproduction and genetics 1993, Vol.10 (1), p.15-20
Hauptverfasser: TURHAN, N. Ö, ARTINI, P. G, D'AMBROGIO, G, DROGHINI, F, BATTAGLIA, C, GENAZZANI, A. D, VOLPE, A, GENAZZANI, A. R
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container_issue 1
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container_title Journal of assisted reproduction and genetics
container_volume 10
creator TURHAN, N. Ö
ARTINI, P. G
D'AMBROGIO, G
DROGHINI, F
BATTAGLIA, C
GENAZZANI, A. D
VOLPE, A
GENAZZANI, A. R
description This study compares the results of three ovulation induction protocols in polycystic ovarian disease (PCOD) patients undergoing an in vitro fertilization-embryo transfer (IVF-ET) program. A total of 85 cycles was studied. The patients were treated with clomiphene citrate (CC) plus human menopausal gonadotropin (hMG) (CC/hMG group), with purified menofollitropin (pFSH) plus hMG (pFSH/hMG group), and with pFSH/hMG plus gonadotropin releasing hormone analogue (GnRH-a) (analogue group). In the analogue group the suppression of luteinizing hormone (LH) with GnRH-a decreased the number of follicles < 12 mm on the day of human chorionic gonadotropin (hCG) administration and the number and percentage of immature oocytes retrieved and increased the percentage of mature oocytes retrieved. However, fertilization rates of oocytes, cleaved embryo rates, pregnancy rates following replacement, and pregnancy outcomes were not different. Although the suppression of the hypothalamic-pituitary-ovarian axis with GnRH-a in PCOD patients improved follicular synchrony and oocyte maturity, none of the ovulation induction protocols was superior to the others with respect to pregnancy rates and pregnancy outcomes.
doi_str_mv 10.1007/BF01204435
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In the analogue group the suppression of luteinizing hormone (LH) with GnRH-a decreased the number of follicles &lt; 12 mm on the day of human chorionic gonadotropin (hCG) administration and the number and percentage of immature oocytes retrieved and increased the percentage of mature oocytes retrieved. However, fertilization rates of oocytes, cleaved embryo rates, pregnancy rates following replacement, and pregnancy outcomes were not different. 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Obstetrics ; Humans ; Infertility, Female - therapy ; Medical sciences ; Oocytes - cytology ; Oocytes - drug effects ; Ovulation Induction - methods ; Polycystic Ovary Syndrome - complications ; Pregnancy ; Pregnancy Outcome ; Sterility. 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Obstetrics</subject><subject>Humans</subject><subject>Infertility, Female - therapy</subject><subject>Medical sciences</subject><subject>Oocytes - cytology</subject><subject>Oocytes - drug effects</subject><subject>Ovulation Induction - methods</subject><subject>Polycystic Ovary Syndrome - complications</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Sterility. 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subjects Adult
Biological and medical sciences
Birth control
Cell Count - drug effects
Cellular Senescence - drug effects
Clinical Protocols
Embryo Transfer
Female
Fertilization in Vitro
Gynecology. Andrology. Obstetrics
Humans
Infertility, Female - therapy
Medical sciences
Oocytes - cytology
Oocytes - drug effects
Ovulation Induction - methods
Polycystic Ovary Syndrome - complications
Pregnancy
Pregnancy Outcome
Sterility. Assisted procreation
title A comparative study of three ovulation induction protocols in polycystic ovarian disease patients in an in vitro fertilization/embryo transfer program
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