Hugues J N, Bry-Gauillard H, Bständig B, Uzan M, Cedrin-Durnerin I
Reproductive Medecine Unit, Department of Gynaecology and Obstetrics, University Paris XIII, France.
J Assist Reprod Genet. 2001 Apr;18(4):191-6. doi: 10.1023/a:1009408029509.
To compare the efficiency and efficacy of two recombinant human FSH (r-FSH) and urinary (u-FSH) preparations in patients undergoing superovulation for IVF-ET using a short-term gonadotropin releasing hormone agonist (GnRH-a) (Triptorelin) protocol.
A total of 88 women undergoing IVF-ET were included in this prospective study. They were randomized to receive u-FSH (150 IU/d), follitropin-alpha (100 IU/d), or follitropin-beta (100 IU/d) for 2 days, and dosages were subsequently adjusted according to the ovarian response.
The FSH dose required for the overall stimulation was significantly lower in patients treated with r-FSH than in those treated with u-FSH while serum FSH values were higher in the latter group. There were no statistically significant differences in ovarian response and IVF outcome between r-FSH preparations.
Recombinant FSH preparations have a higher efficiency than urinary ones in patients undergoing IVF-ET using a short-term GnRH-a protocol. In this situation, the two recombinant follitropins have comparable effectiveness.
采用短期促性腺激素释放激素激动剂(GnRH-a)(曲普瑞林)方案,比较两种重组人促卵泡激素(r-FSH)制剂与尿源性促卵泡激素(u-FSH)制剂在接受体外受精-胚胎移植(IVF-ET)超排卵患者中的有效性和功效。
本前瞻性研究共纳入88例接受IVF-ET的女性。她们被随机分为接受u-FSH(150IU/天)、重组促卵泡素α(100IU/天)或重组促卵泡素β(100IU/天)治疗2天,随后根据卵巢反应调整剂量。
r-FSH治疗组患者总体刺激所需的FSH剂量显著低于u-FSH治疗组,而后者血清FSH值更高。r-FSH制剂之间在卵巢反应和IVF结局方面无统计学显著差异。
在采用短期GnRH-a方案进行IVF-ET的患者中,重组FSH制剂比尿源性制剂具有更高的效率。在这种情况下,两种重组促卵泡素具有相当的有效性。