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The initial flare-up induced by gonadotropin releasing hormone agonist may serve as a predictor of ovarian response in the current IVF-ET treatment cycle in normogonadotropic women aged 40-48 years.促性腺激素释放激素激动剂引发的初始 flare-up 可作为 40 - 48 岁正常促性腺激素水平女性当前体外受精 - 胚胎移植治疗周期中卵巢反应的预测指标。
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Clin Pharmacol Ther. 2025 Oct;118(4):790-802. doi: 10.1002/cpt.70014. Epub 2025 Jul 31.
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Controlled ovarian stimulation protocols for assisted reproduction: a network meta-analysis.辅助生殖的控制性卵巢刺激方案:一项网状荟萃分析。
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The therapeutic effects of rFSH versus uFSH/uHMG on ovarian stimulation in women undergoing assisted reproductive technology: a meta-analysis of randomized controlled trials.rFSH 与 uFSH/uHMG 对接受辅助生殖技术的女性卵巢刺激的治疗效果:随机对照试验的荟萃分析。
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Recombinant follicle stimulating hormone in in-vitro fertilization treatment-clinical experience with follitropin alpha and follitropin beta.重组促卵泡激素在体外受精治疗中的应用——促卵泡素α和促卵泡素β的临床经验
Hum Reprod. 2000 Feb;15(2):239-44. doi: 10.1093/humrep/15.2.239.
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A comparison of the efficacy and tolerability of two recombinant human follicle-stimulating hormone preparations in patients undergoing in vitro fertilization-embryo transfer.两种重组人促卵泡激素制剂在接受体外受精-胚胎移植患者中的疗效和耐受性比较。
Fertil Steril. 2000 Jan;73(1):114-6. doi: 10.1016/s0015-0282(99)00450-1.
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Comparison of two recombinant follicle-stimulating hormone preparations in in-vitro fertilization: a randomized clinical study.两种重组促卵泡激素制剂在体外受精中的比较:一项随机临床研究。
Hum Reprod. 1999 Nov;14(11):2709-15. doi: 10.1093/humrep/14.11.2709.
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A prospective, randomized clinical trial comparing 150 IU recombinant follicle stimulating hormone (Puregon((R))) and 225 IU highly purified urinary follicle stimulating hormone (Metrodin-HP((R))) in a fixed-dose regimen in women undergoing ovarian stimulation.
Hum Reprod. 1999 Oct;14(10):2442-7. doi: 10.1093/humrep/14.10.2442.
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Recombinant versus urinary follicle stimulating hormone for ovarian stimulation in assisted reproduction.重组促卵泡生成素与尿促卵泡素在辅助生殖中用于卵巢刺激的比较。
Hum Reprod. 1999 Sep;14(9):2207-15. doi: 10.1093/humrep/14.9.2207.
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Recombinant follicle stimulating hormone stimulation in poor responders with normal basal concentrations of follicle stimulating hormone and oestradiol: improved reproductive outcome.在促卵泡激素和雌二醇基础浓度正常的低反应者中使用重组促卵泡刺激素刺激:改善生殖结局。
Hum Reprod. 1999 Jun;14(6):1431-4. doi: 10.1093/humrep/14.6.1431.
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Recombinant follicle stimulating hormone: development of the first biotechnology product for the treatment of infertility. Recombinant Human FSH Product Development Group.重组促卵泡激素:首个用于治疗不孕症的生物技术产品的研发。重组人促卵泡激素产品研发小组。
Hum Reprod Update. 1998 Nov-Dec;4(6):862-81. doi: 10.1093/humupd/4.6.862.
8
A comparative prospective study of a chronic low dose versus a conventional ovulation stimulation regimen using recombinant human follicle stimulating hormone in anovulatory infertile women.一项针对无排卵性不孕女性,比较重组人促卵泡激素慢性低剂量与传统促排卵方案的前瞻性研究。
Hum Reprod. 1998 Oct;13(1O):2688-92. doi: 10.1093/humrep/13.10.2688.
9
Recombinant human luteinizing hormone (LH) to support recombinant human follicle-stimulating hormone (FSH)-induced follicular development in LH- and FSH-deficient anovulatory women: a dose-finding study. The European Recombinant Human LH Study Group.重组人促黄体生成素支持重组人促卵泡激素诱导的促黄体生成素和促卵泡激素缺乏的无排卵女性卵泡发育:一项剂量探索性研究。欧洲重组人促黄体生成素研究组。
J Clin Endocrinol Metab. 1998 May;83(5):1507-14. doi: 10.1210/jcem.83.5.4770.
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Recombinant follicle-stimulating hormone (FSH; Puregon) is more efficient than urinary FSH (Metrodin) in women with clomiphene citrate-resistant, normogonadotropic, chronic anovulation: a prospective, multicenter, assessor-blind, randomized, clinical trial. European Puregon Collaborative Anovulation Study Group.重组促卵泡生成素(FSH;果纳芬)在枸橼酸氯米芬抵抗、正常促性腺激素性慢性无排卵女性中比尿促卵泡素(美诺孕)更有效:一项前瞻性、多中心、评估者盲法、随机临床试验。欧洲果纳芬协作性无排卵研究组。
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重组促卵泡生成素制剂与尿促卵泡生成素制剂在体外受精-胚胎移植短方案促性腺激素释放激素激动剂治疗中的比较

Comparison of recombinant and urinary follicle-stimulating hormone preparations in short-term gonadotropin releasing hormone agonist protocol for in vitro fertilization-embryo transfer.

作者信息

Hugues J N, Bry-Gauillard H, Bständig B, Uzan M, Cedrin-Durnerin I

机构信息

Reproductive Medecine Unit, Department of Gynaecology and Obstetrics, University Paris XIII, France.

出版信息

J Assist Reprod Genet. 2001 Apr;18(4):191-6. doi: 10.1023/a:1009408029509.

DOI:10.1023/a:1009408029509
PMID:11432109
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3455363/
Abstract

PURPOSE

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。