AB077. Relationship of TPO-Ab and TSH with in vitro fertilization and embryo transfer
نویسنده
چکیده
© Translational Andrology and Urology. All rights reserved. Transl Androl Urol, 2015;4(S1) www.amepc.org/tau maternal age (≥40 years) or any other risk factor for poor ovarian response; (II) a previous poor ovarian response (≤3 oocytes with a conventional stimulation protocol); (III) an abnormal ovarian reserve test (i.e., AFC <5-7 follicles or AMH <0.5-1.1 ng/mL). For these poor responders, the supplementation of recLH is beneficial. Significantly more oocytes and better clinical pregnancy rate could be achieved in women treated with recFSH plus recLH vs. recFSH alone. In our reproductive medical center, a comprehensive protocol is employed to better the outcomes of the poor responders, including DHEA pretreatment, oral contraceptive pretreatment, high-dose recFSH priming, supplementation of recLH et al. Besides these categories of patients with different sensitivity to ovarian stimulation, slow responders are featured by no follicles larger than 10 mm and low estradiol level (E2 <180 pg/mL) on the 6 day of stimulation. The velocity of their follicle development is also reduced (<2 mm for three consecutive days). According to our practice, adding recombinant luteinizing hormone might be beneficial.
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