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Krasnopol'skaia K.V.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii;
kafedra akusherstva i ginekologii FUV MONIKI im. M.F. Vladimirskogo

Nazarenko T.A.

Kafedra akusherstva, ginekologii, perinatologii i reproduktologii fakul'teta poslediplomnogo professional'nogo obucheniia vracheĭ Moskovskoĭ meditsinskoĭ akademii im. I.M. Sechenova;
Nauchnyĭ tsentr akusherstva, ginekologii i perinatologii im. akad. V.I. Kulakova

Zdanovskiĭ V.M.

Tsentr lecheniia besplodiia 'Lera', Moskva

Ankina O.A.

Moscow Regional Scientific Research Institute of Obstretrics and Gynecology, Department of Reproduction, Moscow, Russia, 101000

Bocharova T.V.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia;
Prior Clinic, Moscow, Russia

The impact of quantitative parameters of folliculogenesis in controlled ovarian stimulation on IVF

Authors:

Krasnopol'skaia K.V., Nazarenko T.A., Zdanovskiĭ V.M., Ankina O.A., Bocharova T.V.

More about the authors

Journal: Russian Journal of Human Reproduction. 2017;23(3): 55‑61

DOI: 10.17116/repro201723355-61

Views: 2201

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To cite this article:

Krasnopol'skaia KV, Nazarenko TA, Zdanovskiĭ VM, Ankina OA, Bocharova TV. The impact of quantitative parameters of folliculogenesis in controlled ovarian stimulation on IVF. Russian Journal of Human Reproduction. 2017;23(3):55‑61. (In Russ.)
https://doi.org/10.17116/repro201723355-61

 
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Objective — to clarify the effectiveness of IVF procedure in terms of pregnancy rate index per embryo transfer (ET) and per cycle in fresh cycles using conventional stimulation with an analysis of frequency and causes of embryo transfers cancels in patients groups with different numbers of collected oocytes. Material and methods. The study included 4445 infertile women from 20 to 43 years old. Results. In case of standard stimulation, the highest pregnancy rate indexes per ET and per cycle were mentioned in patient’s groups with 8—22 rather than 4—7 oocytes. With hyperergic response in most cases of embryo transfers cancels patients save chances of high enough cumulative pregnancy rate index by using the freeze-all strategy, which provides possibility for subsequent use of obtained embryos in unstimulated cycles. Conclusion. Wide usage of «mild stimulation» in clinical practice seems inappropriate, due to large percentage of women with inadequate (poor and suboptimal) response to stimulation with traditional doses of gonadotropins among patients with IVF programs.

Keywords:

infertility
IVF
conventional and mild stimulation

Authors:

Krasnopol'skaia K.V.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii;
kafedra akusherstva i ginekologii FUV MONIKI im. M.F. Vladimirskogo

Nazarenko T.A.

Kafedra akusherstva, ginekologii, perinatologii i reproduktologii fakul'teta poslediplomnogo professional'nogo obucheniia vracheĭ Moskovskoĭ meditsinskoĭ akademii im. I.M. Sechenova;
Nauchnyĭ tsentr akusherstva, ginekologii i perinatologii im. akad. V.I. Kulakova

Zdanovskiĭ V.M.

Tsentr lecheniia besplodiia 'Lera', Moskva

Ankina O.A.

Moscow Regional Scientific Research Institute of Obstretrics and Gynecology, Department of Reproduction, Moscow, Russia, 101000

Bocharova T.V.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia;
Prior Clinic, Moscow, Russia

List of references:

  1. Homburg R. Controlled ovarian stimulation for IVF/ICSI. In: Homburg R. ed. Ovulation induction and controlled ovarian stimulation. Springer International Publishing, Switzerland. 2014;143-158.
  2. Klinicheskie aspekty lecheniya besplodiya v brake. Diagnosticheskie i terapevticheskie programmy s ispol’zovaniem metodov vosstanovleniya estestvennoi fertil’nosti i vspomogatel’nykh reproduktivnykh tekhnologii: rukovodstvo. Pod red. Krasnopol’skoi K.V., Nazarenko T.A. M.: GEOTAR-Media. 2013. (In Russ.).
  3. Crawford NM, Kashika KM, Mersereau JE. Mild stimulation versus conventional IVF: a cost-effectiveness evaluation. Open Journal of Obstetrics and Gynecology.2016;6(3):180-188. https://doi.org/10.4236/ojog.2016.63023
  4. Hamdine O, Broekmans FJ, Fauser BCJM. Ovarian stimulation for IVF: mild approach. In: Rosenwaks Z., Wassarman P.M. eds. Human fertility: methods and protocols. Springer Science+Business Media New York. 2014;305-328.
  5. Wunsch A, Sonnta B, Simoni M. Polymorphism of the FSH receptor and ovarian response to FSH. Annales d’Endocrinologie. 2007;68(2-3):160-166. https://doi.org/10.1016/j.ando.2007.04.006
  6. Lledo B, Guerrero J, Turienzo A, et al. Effect of follicle-stimulating hormone receptor N680S polymorphism on the efficacy of follicle-stimulating hormone stimulation on donor ovarian response. Pharmacogenetics and Genomics.2013;23(5):262-268. https://doi.org/10.1097/fpc.0b013e32835fe813
  7. Valkenburg O, van Santbrink EJP, König TE. Follicle-stimulating hormone receptor polymorphism affects the outcome of ovulation induction in normogonadotropic (World Health Organization class 2) anovulatory subfertility. Fertil Steril. 2015;103(4):1081-1088. https://doi.org/10.1016/j.fertnstert.2015.01.002
  8. Ferraretti AP, Gianaroli L, Magli MC, et al. Exogenous luteinizing hormone in controlled ovarian hyperstimulation for assisted reproduction techniques. Fertil Steril. 2004;82(6):1521-1526. https://doi.org/10.1016/j.fertnstert.2004.06.041
  9. Vuong LT, Dang VQ, Ho TM, et al. Freeze-all versus fresh embryo transfer in IVF/ICSI, a randomized controlled trial (NCT02471573). Fertil Steril. 2016;106(3):e376. https://doi.org/10.1016/j.fertnstert.2016.08.006
  10. Registr tsentrov VRT v Rossii. Otchet za 2014 god. Problemy reproduktsii. 2016;22(5):10-22. (In Russ.).. https://doi.org/10.17116/repro201622510-21
  11. Krasnopol’skaya K.V., Ashkharua T.A. Primenenie selektivnykh stimulyatorov dofaminovykh D2-retseptorov dlya profilaktiki sindroma giperstimulyatsii yaichnikov (obzor literatury). Problemy reproduktsii.2011;17(3):63-68. (In Russ.).

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