01-01-2010 | Original Article
Comparing GnRH agonist long protocol and gnrh antagonist protocol in outcome the first cycle of ART
Published in: Archives of Gynecology and Obstetrics | Issue 1/2010
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Purpose
This prospective study evaluated the efficacy of gonadotropin-releasing hormone (GnRH) antagonist protocol in
comparison with the GnRH agonist protocol in the first cycle of assisted reproductive technique (ART).
Methods
We randomized 235 patients undergoing ART for the first time. The first group was
stimulated with a standard long protocol and the second group stimulated with GnRH antagonis.
Results
There was no statistically significant difference in the age, infertility cause, basal FSH,
BMI, the number of oocytes retrieved, number of M2 oocytes, embryo obtained and endometrial
thickness between the two groups. But Serum estradiol, consumption of gonadotropins and ovarian
hyperstimulation syndrome were significantly lower in the antagonist protocol. Cancellation rate
of embryo transfer due to poor-quality embryo in the antagonist protocol was higher, but it
was not significant. There was no significant difference in the clinical pregnancy and ongoing
pregnancy between the two groups.
Conclusion
GnRH-antagonist is an effective, safe, and well-tolerated alternative to agonist in
the first cycle of ART.