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Titolo:
Ovarian reserve test with human menopausal gonadotropin as a predictor of in vitro fertilization outcome
Autore:
Fabregues, F; Balasch, J; Creus, M; Carmona, F; Puerto, B; Quinto, L; Casamitjana, R; Vanrell, JA;
Indirizzi:
Univ Barcelona, Hosp Clin, IDIBAPS, Fac Med,Inst Clin Gynecol Obstet & Neonatol, E-08036 Barcelona, Spain Univ Barcelona Barcelona Spain E-08036 eonatol, E-08036 Barcelona, Spain
Titolo Testata:
JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
fascicolo: 1, volume: 17, anno: 2000,
pagine: 13 - 19
SICI:
1058-0468(200001)17:1<13:ORTWHM>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLICLE-STIMULATING-HORMONE; HUMAN MENSTRUAL-CYCLE; INHIBIN-B; AGE; PROGRAM;
Keywords:
FSH; hMG test; IVF; low responders; predictors of ovarian response;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Balasch, J Univ Barcelona, Hosp Clin, IDIBAPS, Fac Med,Inst Clin Gynecol Obstet & Neonatol, C Casanova 143, E-08036 Barcelona, Spain Univ Barcelona CCasanova 143 Barcelona Spain E-08036 a, Spain
Citazione:
F. Fabregues et al., "Ovarian reserve test with human menopausal gonadotropin as a predictor of in vitro fertilization outcome", J AS REPROD, 17(1), 2000, pp. 13-19

Abstract

Purpose: Our purpose was to determine prospectively, using receiver-operating characteristic (ROC) analysis, whether the ovarian reserve test with hMG could improve the predictive value of a woman's age and basal levels of follicle stimulating hormone (FSH), E-2, and inhibin or arty combination of them regarding ovarian response and pregnancy rate in IVF treatment following pituitary desensitization. Methods: The hMG test was performed within 3 months of IVF treatment in 80women undergoing the first cycle of IVF and consisted of 2 ampoules of hMGdaily for 5 days starting on cycle days 2 to 3. Hormone and ultrasound evaluation was performed on cycle days 2 to 3 and 7 to 8. Results: The mean age and basal FSH levels were significantly higher in the canceled (n = 28) than in the control (n = 52) group, whereas the basal inhibin level was significantly higher in the latter Regarding ovarian response, the combination FSH plus inhibin had the better diagnostic accuracy (predictive value of 70%) among basal variables. When post-hMG parameters (alone or in combination) were analyzed, E-2 alone,with a 77% diagnostic accuracy, emerged as the best predictive variable of cancellation in IVF cycles. When ROC analysis was used, the area under the ROC curve for E-2 post-hMG (diagnostic accuracy of 84.5%) was significantly higher than that for the estimates based on the combination of basal FSH and inhibin (diagnostic accuracy of 71.3%). However woman's age was the only variable independently associated with pregnancy rate. Conclusions: The predictive power of the hMG test of ovarian reserve is better than that of age and basal hormone values (FSH and inhibin) and it is based mainly on the E-2 response to hMG treatment. However given that age is the only predictor of pregnancy and considering the cost and discomfort of the hMG test, the usefulness, if any, of the test in predicting IVF performance in the daily clinical setting remains to be established.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 21:39:14