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控制性卵巢过度刺激。早期血清雌二醇水平与卵母细胞捐赠者最终反应的关系。

Controlled ovarian hyperstimulation. Relationship of early serum E2 levels to the ultimate response of oocyte donors.

作者信息

Kavic S, Cohen M A, Sauer M V, Lindheim S R

机构信息

Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Columbia University, College of Physicians and Surgeons, New York, New York, USA.

出版信息

J Reprod Med. 2001 Jul;46(7):637-40.

PMID:11499183
Abstract

OBJECTIVE

To assess the predictive value of measuring serum day 5 E2 and in vitro fertilization (IVF) cycle outcome of oocyte donors undergoing controlled ovarian hyperstimulation (COH).

STUDY DESIGN

Retrospective data analysis.

RESULTS

Day 5 E2 significantly correlated with the peak serum E2 and number of retrieved mature oocytes. The pregnancy rates associated with stimulated day 5 E2 > 70 pg/mL were significantly greater than in cycles with levels < 70 pg/mL (58%, 71/123, versus 25%, 15/60; P < .05).

CONCLUSION

The cycle performance of an oocyte donor can be predicted by measuring cycle day 5 serum E2 during COH. Poor-prognosis cycles can be identified and discontinued, saving patients and the program unnecessary exspense.

摘要

目的

评估在接受控制性卵巢刺激(COH)的卵母细胞捐赠者中,测量第5天血清雌二醇(E2)对体外受精(IVF)周期结局的预测价值。

研究设计

回顾性数据分析。

结果

第5天E2与血清E2峰值及回收的成熟卵母细胞数量显著相关。刺激周期第5天E2>70 pg/mL时的妊娠率显著高于E2水平<70 pg/mL的周期(58%,71/123,对比25%,15/60;P<.05)。

结论

通过在COH期间测量周期第5天血清E2,可以预测卵母细胞捐赠者的周期表现。可以识别并终止预后不良的周期,为患者和项目节省不必要的费用。

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引用本文的文献

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J Assist Reprod Genet. 2003 Jun;20(6):222-6. doi: 10.1023/a:1024155411444.