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Published in: Journal of Assisted Reproduction and Genetics 6/2009

01-06-2009 | ASSISTED REPRODUCTION

Human choriogonadotropin prior to controlled ovarian stimulation and in vitro fertilization improves implantation, and pregnancy rates

Authors: Eduardo L. Motta, Gary D. Smith, Paulo C. Serafini, Marcio Coslovsky, Pericles Hassun, Andre M. Rocha, Isaac Yadid

Published in: Journal of Assisted Reproduction and Genetics | Issue 6/2009

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Abstract

Purpose

Our purpose was to retrospectively compare controlled ovarian stimulation(COH) in IVF cycles with administration of hCG on the day of menses (D1-hCG) with women not receiving hCG at day 1 of menses (Control).

Methods

Data on maternal age, endocrine profile, amount of rFSH required, embryo characteristics, implantation and pregnancy rates were recorded for comparison between D1-hCG (n = 36) and Control (n = 64).

Results

Dose of rFSH required to accomplish COH was significantly lower in D1-hCG. Following ICSI, more top-quality embryos were available for transfer per patient in the D1-hCG and biochemical pregnancy rates per transfer were significantly higher in the D1-hCG. Significantly higher implantation and on-going pregnancy rates per embryo transfer were observed in D1-hCG (64%) compared to Control (41%).

Conclusions

Administration of D1-hCG prior to COH reduces rFSH use and enhances oocyte developmental competence to obtain top quality embryos, and improves implantation and on-going pregnancy rates. At present it is not clear if the benefit is related to producing an embryo that more likely to implant or a more receptive uterus, or merely fortuitous and related to the relatively small power of the study.
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Metadata
Title
Human choriogonadotropin prior to controlled ovarian stimulation and in vitro fertilization improves implantation, and pregnancy rates
Authors
Eduardo L. Motta
Gary D. Smith
Paulo C. Serafini
Marcio Coslovsky
Pericles Hassun
Andre M. Rocha
Isaac Yadid
Publication date
01-06-2009
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 6/2009
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-009-9322-x

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