Serum vascular endothelial growth factor levels following luteal gonadotrophin-releasing hormone antagonist administration in women with severe early ovarian hyperstimulation syndrome
| Autor: | T.G. Lainas, Basil C. Tarlatzis, Ioannis Z. Zorzovilis, George K. Petsas, Efstratios M. Kolibianakis, George T. Lainas, Ioannis A. Sfontouris |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Vascular Endothelial Growth Factor A medicine.medical_specialty medicine.medical_treatment Population Ovarian hyperstimulation syndrome Pilot Projects Luteal phase Luteal Phase Severity of Illness Index Andrology Cohort Studies Gonadotropin-Releasing Hormone chemistry.chemical_compound Ovarian Hyperstimulation Syndrome Internal medicine Ascites medicine Humans education education.field_of_study In vitro fertilisation business.industry Antagonist Obstetrics and Gynecology medicine.disease Vascular endothelial growth factor Endocrinology chemistry Female medicine.symptom business Hormone |
| Zdroj: | BJOG : an international journal of obstetrics and gynaecology. 121(7) |
| ISSN: | 1471-0528 |
| Popis: | Objective To investigate the kinetics of serum vascular endothelial growth factor (VEGF) following gonadotrophin-releasing hormone (GnRH) antagonist administration in the luteal phase in women with established severe early ovarian hyperstimulation syndrome (OHSS). Design Pilot observational cohort study. Setting Private in vitro fertilisation (IVF) Unit. Population Twelve IVF women diagnosed with established severe early OHSS 5 days post oocyte retrieval (POR). Methods Women undergoing IVF diagnosed with severe early OHSS 5 days POR were given 0.25 mg GnRH antagonist for 4 days, from day 5 until and including day 8 POR, combined with elective blastocyst cryopreservation. Serum VEGF was measured from the day of oocyte retrieval until day 11 POR. Ovarian volume, ascites, serum estradiol and progesterone, haematocrit and white blood cells were monitored during the same period. Main outcome measures Kinetics of VEGF following luteal GnRH antagonist administration in women with established severe early OHSS. Results The concentration of VEGF was highest (390.9 ± 137.4 pg/ml) 5 days POR, coinciding with the day of diagnosis of severe OHSS. There was a significant decline of VEGF on day 7 (302.8 ± 104.9 pg/ml; P = 0.026), day 9 (303.3 ± 148.3 pg/ml; P = 0.007), and day 11 (252.6 ± 182.7 pg/ml; P = 0.010) compared with day 5 POR. This decline was associated with an improvement of ultrasound and laboratory parameters, indicating regression of severe OHSS. All women were managed at an outpatient level. Conclusions GnRH antagonist administration in the luteal phase is associated with a significant decline of VEGF and with regression of established severe early OHSS. |
| Databáze: | OpenAIRE |
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