Comparison of protocols efficacy in poor responders: differences in oocytes/embryos competence with different protocols, a retrospective study

Fertil Steril. 2009 Apr;91(4 Suppl):1431-3. doi: 10.1016/j.fertnstert.2008.06.001. Epub 2008 Aug 15.

Abstract

At present, there is no agreement on poor ovarian response definition, and no definitive evidence that this prognosis can be changed by a specific protocol. Our data suggest that a flare-up protocol with a depot gonadotropin-releasing hormone (GnRH) agonist formulation gives higher total pregnancy and implantation rates than a GnRH antagonist, possibly by improving oocyte/embryo competence.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Chorionic Gonadotropin / pharmacology
  • Clinical Protocols*
  • Dose-Response Relationship, Drug
  • Embryo Transfer
  • Embryonic Development / physiology*
  • Female
  • Gonadotropin-Releasing Hormone / agonists*
  • Gonadotropin-Releasing Hormone / antagonists & inhibitors*
  • Humans
  • Luteolytic Agents / pharmacology
  • Oocytes / drug effects
  • Oocytes / physiology*
  • Ovulation Induction / methods*
  • Pregnancy
  • Pregnancy Rate
  • Retrospective Studies
  • Sperm Injections, Intracytoplasmic
  • Triptorelin Pamoate / pharmacology

Substances

  • Chorionic Gonadotropin
  • Luteolytic Agents
  • Triptorelin Pamoate
  • Gonadotropin-Releasing Hormone