Induction of ovulation with the use of a starting dose of 50 units of recombinant human follicle-stimulating hormone (Puregon∗)

Autor: Adam H. Balen, Catherine J. Hayden, Anthony J. Rutherford
Rok vydání: 1999
Předmět:
Zdroj: Fertility and Sterility. 71:106-108
ISSN: 0015-0282
DOI: 10.1016/s0015-0282(98)00408-7
Popis: Objective: To determine whether a starting dose of 50 units of recombinant FSH (follitropin beta, Puregon; Organon Laboratories Limited, Cambridge, United Kingdom) produces a follicular response in patients with clomiphene citrate–resistant polycystic ovary syndrome (PCOS). Design: Prospective observational study. Setting: Routine clinical practice in a teaching hospital fertility unit. Patient(s): Patients with clomiphene citrate–resistant PCOS who wanted to become pregnant. Intervention(s): Low-dose step-up protocol of SC recombinant FSH administration, monitored prospectively by transvaginal ultrasonography and retrospectively by serum endocrine assays taken at each monitoring visit. Main outcome measure(s): Rate and size of follicular growth, recombinant FSH requirement, E 2 response, ovulation, cycle cancellation, and pregnancy. Result(s): All patients exhibited a follicular response: Six patients ovulated, of whom two conceived and four had their cycles cancelled because of overstimulation. One patient did not ovulate despite the development of a follicle. Conclusion(s): Recombinant FSH can be used successfully to stimulate follicular growth at a starting dose of 50 IU.
Databáze: OpenAIRE