Predictive models for starting dose of gonadotropin in controlled ovarian hyperstimulation: review and progress update

Hum Fertil (Camb). 2023 Dec;26(6):1609-1616. doi: 10.1080/14647273.2023.2285937. Epub 2024 Jan 24.

Abstract

Controlled ovarian hyperstimulation (COH) is an essential for in vitro fertilization-embryo transfer (IVF-ET) and an important aspect of assisted reproductive technology (ART). Individual starting doses of gonadotropin (Gn) is a critical decision in the process of COH. It has a crucial impact on the number of retrieved oocytes, the cancelling rate of ART cycles, and complications such as ovarian hyperstimulation syndrome (OHSS), as well as pregnancy outcomes. How to make clinical team more standardized and accurate in determining the starting dose of Gn is an important issue in reproductive medicine. In the past 20 years, research teams worldwide have explored prediction models for Gn starting doses. With the integration of artificial intelligence (AI) and deep learning, it is hoped that there will be more suitable predictive model for Gn starting dose in the future.

Keywords: Controlled ovarian hyperstimulation; gonadotropin; in vitro fertilization-embryo transfer; predictive model; starting doses.

Publication types

  • Review

MeSH terms

  • Artificial Intelligence
  • Female
  • Fertilization in Vitro / methods
  • Gonadotropin-Releasing Hormone
  • Gonadotropins
  • Humans
  • Ovarian Hyperstimulation Syndrome*
  • Ovulation Induction / methods
  • Pregnancy
  • Pregnancy Rate

Substances

  • Gonadotropin-Releasing Hormone
  • Gonadotropins