Controlled ovarian hyperstimulation regimens: a review of the available evidence for clinical practice. Produced on behalf of the BFS Policy and Practice Committee

Autor:	C.B. Lambalk, Tarek A. Gelbaya, E. Bosch, Luciano G. Nardo
Přispěvatelé:	Obstetrics and gynaecology, ICaR - Ischemia and repair
Rok vydání:	2013
Předmět:	Infertility Agonist Oncology Societies Scientific endocrine system medicine.medical_specialty Oral contraceptive pill medicine.drug_class medicine.medical_treatment Controlled ovarian hyperstimulation Fertilization in Vitro Follicle-stimulating hormone Ovarian Hyperstimulation Syndrome Ovulation Induction Internal medicine medicine Humans Ovarian reserve Gynecology In vitro fertilisation Evidence-Based Medicine business.industry Obstetrics and Gynecology General Medicine Fertility Agents Female medicine.disease United Kingdom Fertility Reproductive Medicine Practice Guidelines as Topic Female business Infertility Female hormones hormone substitutes and hormone antagonists Hormone
Zdroj:	Nardo, L G, Bosch, E, Lambalk, C B & Gelbaya, T A 2013, ' Controlled ovarian hyperstimulation regimens: a review of the available evidence for clinical practice. Produced on behalf of the BFS Policy and Practice Committee ', Human fertility, vol. 16, no. 3, pp. 144-150 . https://doi.org/10.3109/14647273.2013.795385 Human fertility, 16(3), 144-150. Taylor and Francis Ltd.
ISSN:	1464-7273
DOI:	10.3109/14647273.2013.795385
Popis:	Before planning an assisted conception treatment cycle, a thorough assessment of the woman's hormone profile and ovarian reserve is essential to aid the decision on the appropriate protocol for controlled ovarian hyperstimulation (COH). There is insufficient evidence to recommend the use of one type of gonadotrophins over another. There is no benefit of luteinising hormone (LH) supplementation in cycles stimulated with follicle stimulating hormone alone in an unselected population. There is some evidence to suggest a potential benefit of LH supplementation in patients with a history of poor ovarian response to stimulation and in those older than 35 years. The long gonadotrophin releasing hormone (GnRH) agonist protocol is the most widely used and is the preferred protocol in the unselected population of women undergoing COH for in vitro fertilisation or intra-cytoplasmic sperm injection. The GnRH antagonist protocol is best used for known or suspected high responders, including women with PCOS, as it reduces the risk of OHSS. There is a lack of robust evidence to suggest that the GnRH agonist protocol is better than the GnRH antagonist protocol in poor responders. The prolonged GnRH agonist protocol is advantageous in women who are undergoing COH due to pelvic endometriosis. Oral contraceptive pill pre-treatment adversely affects the IVF outcome in GnRH antagonist cycles, but not in GnRH agonist cycles.
Databáze:	OpenAIRE
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