Infertile women undergoing IVF with sonographic evidence of polycystic ovaries but without any clinical manifestations of polycystic ovarian syndrome.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Women attending the Oxford fertility unit with ovulatory PCO due to undergo IVF/ICSI treatment • First or second cycle of IVF/ICSI • If previously on metformin, a minimum one month washout period is required. • Polycystic ovaries diagnosed by ultrasound presence of 12 or more follicles in at least one ovary measuring 2-9 mm in diameter and/or increased ovarian volume (>10 ml) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Clinical manifestations of PCOS. i.e. any of the following – 1. Oligo- or amenorrhoea with cycles = 42 days apart 2. Anovulation with mid-luteal progesterone 5. 4. Clinical hyperandrogenism with hirsutism or acne requiring treatment at least weekly. • Age >38 • BMI >35 • Two or more previous IVF cycles • Basal FSH > 12 iu/L • Liver disease or ALT > 80 iu/l • Renal disease, or creatinine > 130 _mol/l • Alcoholism or drug abuse • Diabetes mellitus (evaluated by fasting glucose > 6.7mmol/l) • Per oral steroid treatment in last month • Cimetidine, anticoagulation, erythromycin, or other macrolides in last month • Hyperprolactinemia (Prolactin > 700 mU/L) • Abnormal thyroid function tests (TSH outside of laboratory normal range) • Congenital adrenal hyperplasia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate if metformin treatment before IVF increases the live birth rate in women with ovulatory PCO who do not have other signs of PCOS.;Primary end point(s): Live birth of baby resulting from IVF treatment; Secondary Objective: • Duration of stimulation • Total dose of FSH • Peak estradiol • Endometrial thickness on day of ET • No. of follicles • No. of follicles >14 mm • Ovarian Hyperstimulation Syndrome(OHSS) requiring hospitalisation • No. of oocytes • No. of mature oocytes • No. of oocytes fertilised • No. of embryos >4 cells • Pregnancy rate • Clinical pregnancy rate | — |
Countries
United Kingdom