None listed
Conditions
Brief summary
Gonadotropin releasing hormone agonist (GnRH-a) is used routinely in controlled ovarian stimulation for assisted reproduction either in its short (flare-up) or long protocol. The routine daily dose of the different agonists was introduced by trials and is not uniformly established. The objective of this prospective randomized controlled study was to characterize the daily changes in the levels of luteinizing hormone (LH) and estradiol (E2) and to compare the intracytoplasmic sperm injection (ICSI) outcome with 3 different doses of the GnRH-a used in a short protocol for normal ovulatory females. Patientswill be randomly assigned to three groups; group A (N=34), group B (N=34) and group C (N=23). All the patients will start treatment with urinary gonadotropins, 2 ampoules per day and GnRH-a (Triptorelin) on the first day of the menstrual period and continued till the day of human chorionic gonadotropins (hCG) administration. The daily dose of Triptorelin will be 0.1 mg, 50 ug, and 25 ug in groups A, B and C respectively.
Interventions
Ovulatory patients undergoing in vitro fertilization cycles will start treatment with intramuscular injection of urinary gonadotropins, 2 ampoules (150 IU) per day and subcutaneous injections of GnRH-a (Triptorelin) on the first day of the menstrual period and continued till the day of human chorionic gonadotropins (hCG) administration. We administered human chorionic gonadotropin (hCG) when at least three follicles of 16 mm or more in diameter and adequate estradiol plasma concentrations were detected. Patients will be randomly assigned to three groups; group A, group B and group C . The daily dose of Triptorelin will be 0.1 mg, 50 ug, and 25 ug in groups A, B and C respectively.'
Sponsors
Study design
Eligibility
Inclusion criteria
Infertile patients undergoing in vitrofertilization cycles,
Exclusion criteria
Patients with ovarian failure