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Estrogen-suppressed in vitro maturation: a novel approach to in vitro maturation
Oleh:
Vitek, Wendy S.
;
Witmyer, Jeannine
;
Carson, Sandra A.
;
Robins, Jared C.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 99 no. 07 (Jun. 2013)
,
page 1886-1890.
Topik:
In vitro maturation
;
immature oocytes
;
polycystic ovarian syndrome
Ketersediaan
Perpustakaan FK
Nomor Panggil:
F02.K.2013.04
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Objective To evaluate the laboratory and clinical outcomes of estrogen-suppressed in vitro maturation (ES-IVM), a novel IVM protocol that eliminates the need for FSH stimulation and cycle monitoring. Design Case series. Setting Academic infertility center. Patient(s) Eighteen infertile couples undergoing ES-IVM (n = 20). Eligible candidates included women =38 years old with either polycystic ovarian syndrome, antral follicle count =15, and/or history of ovarian hyperstimulation syndrome. Intervention(s) ES-IVM. Main Outcomes Measure(s) Oocyte yield, maturation, fertilization, embryo quality, implantation, clinical pregnancy, and live-birth rate were analyzed. Result(s) The average number of oocytes retrieved was 16.7 ± 5.9, with a 52.1% maturation rate and a 58% fertilization rate by intracytoplasmic sperm injection. The average number of embryos transferred was 2.85 ± 0.6. The implantation rate was 17.5%, the clinical pregnancy rate was 40%, and the live-birth rate was 40%. Conclusion(s) The efficiency of ES-IVM appears to be similar to natural cycle and low-stimulation IVM protocols with respect to laboratory and clinical outcomes, while eliminating the need for FSH stimulation and cycle monitoring.
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