Measurement of Luteinizing Hormone Level After Gonadotropin-Releasing Hormone Agonist Trigger Is Not Useful for Predicting Oocyte Maturity
| Autor: | Caitlin Dunne, Gary S. Nakhuda, Angel Shan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
0301 basic medicine Agonist Oral contraceptive pill medicine.drug_class medicine.medical_treatment Ovarian hyperstimulation syndrome Human chorionic gonadotropin Cohort Studies Gonadotropin-Releasing Hormone Andrology Young Adult 03 medical and health sciences 0302 clinical medicine Ovulation Induction Predictive Value of Tests Pregnancy Gonadotropin-releasing hormone agonist medicine Humans Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Luteinizing Hormone medicine.disease Oocyte 030104 developmental biology medicine.anatomical_structure Oocytes Female Ovulation induction business Luteinizing hormone Biomarkers |
| Zdroj: | Journal of Obstetrics and Gynaecology Canada. 40:1618-1622 |
| ISSN: | 1701-2163 |
| DOI: | 10.1016/j.jogc.2018.01.032 |
| Popis: | Objective To study whether the measurement of LH after GnRH agonist trigger is correlated with the proportion of mature oocytes. Methods We performed a retrospective cohort study at a private, university-affiliated fertility centre in Vancouver, BC. Patients who underwent IVF/ICSI cycles and used a GnRH agonist trigger were included. Serum LH levels were measured on the day of trigger and one day later. The main study outcome measure was the proportion of mature oocytes. Results Including all 97 cycles in the cohort, the average post-trigger LH level was 69.3 IU/L (10.5–133.3 IU/L) and the average rise was 66.8 IU/L (10.0–129.4 IU/L). The mean number of oocytes collected was 17 and, on average, 82% were mature. We did not find any association between post-trigger LH levels (r = 0.004, P = 0.968) or rise in LH level (r = 0.01, P = 0.92) and the proportion of mature oocytes collected. The percentage rise in LH level was also not predictive of the proportion of mature oocytes in the estradiol and oral contraceptive pill groups separately (estradiol r = 0.118, OCP r = 0.07; P > 0.05) or together (r = 0.1, P = 0.34). Conclusion Neither the absolute post-trigger LH level nor the rise in LH level is predictive of the proportion of mature oocytes collected. Taken together with the excellent response to GnRH agonist trigger evidenced by the average oocyte maturity, we do not believe it is necessary to measure post-trigger LH levels. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|