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[半自然周期作为体外受精预后不良患者成功治疗选择的作用]

[The role of the semi natural cycle as option of treatment of patients with a poor prognosis for successful in vitro fertilization].

作者信息

Castelo-Branco A, Frydman N, Kadoch J, Le Du A, Fernandez H, Fanchin R, Frydman R

机构信息

Service de Gynécologie-Obstétrique de Médecine de la Reproduction, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2004 Oct;33(6 Pt 1):518-24. doi: 10.1016/s0368-2315(04)96565-9.

DOI:10.1016/s0368-2315(04)96565-9
PMID:15567968
Abstract

OBJECTIVE

To evaluate the efficacy of semi natural cycle as option of treatment for the patients who have a poor prognosis to controlled ovarian hyperstimulation (COH).

PATIENTS AND METHODS

Prospective study. Sixty-six patients with an ovulatory cycle who presented either altered ovarian status (AOS) or implantation failure (IMF) and had carried out a total of 133 semi natural IVF cycles were included. Once follicular dominance was established, the growth of this follicule was controlled by administration of the GnRH antagonist with exogenous gonadotrophins.

RESULTS

Groups AOS (n = 47) and IMF (n = 19) were similar with regard to oocyte pickup rate (81.2% and 81.1%), the oocyte recovery rate (61.4% and 64.8%) and clinical pregnancies per oocyte pickups rate (15.4% and 16.6%), respectively.

CONCLUSIONS

The semi natural cycle appears as option of treatment for patients who have a poor prognosis for successful in vitro fertilization.

摘要

目的

评估半自然周期作为控制性卵巢刺激(COH)预后不良患者的一种治疗选择的疗效。

患者与方法

前瞻性研究。纳入66例有排卵周期、出现卵巢状态改变(AOS)或种植失败(IMF)且共进行了133个半自然体外受精周期的患者。一旦确定卵泡优势,通过给予GnRH拮抗剂和外源性促性腺激素来控制该卵泡的生长。

结果

AOS组(n = 47)和IMF组(n = 19)在取卵率(分别为81.2%和81.1%)、卵母细胞回收率(分别为61.4%和64.8%)以及每取卵周期临床妊娠率(分别为15.4%和16.6%)方面相似。

结论

半自然周期似乎是体外受精成功预后不良患者的一种治疗选择。

相似文献

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J Gynecol Obstet Biol Reprod (Paris). 2004 Oct;33(6 Pt 1):518-24. doi: 10.1016/s0368-2315(04)96565-9.
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A randomized comparison of two ovarian stimulation protocols with gonadotropin-releasing hormone (GnRH) antagonist cotreatment for in vitro fertilization commencing recombinant follicle-stimulating hormone on cycle day 2 or 5 with the standard long GnRH agonist protocol.两种卵巢刺激方案与促性腺激素释放激素(GnRH)拮抗剂联合治疗用于体外受精的随机比较,这两种方案分别是在周期第2天或第5天开始使用重组促卵泡激素并与标准长效GnRH激动剂方案进行对比。
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Steroid receptor expression in late follicular phase endometrium in GnRH antagonist IVF cycles is already altered, indicating initiation of early luteal phase transformation in the absence of secretory changes.在促性腺激素释放激素拮抗剂体外受精周期中,卵泡晚期子宫内膜中的类固醇受体表达已经改变,这表明在没有分泌变化的情况下,黄体早期转化已经开始。
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Gonadotropin-releasing hormone antagonist use is associated with increased pregnancy rates in ovulation induction-intrauterine insemination to in vitro fertilization conversions, independent of age and estradiol level on the day of human chorionic gonadotropin administration.促性腺激素释放激素拮抗剂的使用与排卵诱导-宫腔内人工授精向体外受精的转化率增加相关,与人绒毛膜促性腺激素给药日的年龄和雌二醇水平无关。
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Outcomes of 1503 cycles of modified natural cycle in vitro fertilization: a single-institution experience.1503个改良自然周期体外受精周期的结局:单机构经验
J Assist Reprod Genet. 2015 Jul;32(7):1043-8. doi: 10.1007/s10815-015-0502-6. Epub 2015 Jun 4.