Infertility, In Vitro Fertilization Protocols
Conditions
Keywords
infertility, ovulation induction, luteal phase, granulosa cells function, GnRH agonist and antagonist, HMG, FSHr
Brief summary
This study is intended to evaluate ovarian cells after being submitted do different in vitro fertilization protocols. The investigators will analyze hormones secretion and intracellular mechanisms of these cells comparing the GnRH agonist protocol and the GnRH antagonist protocol.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient age limit: 39 years * Follicle Stimulating Hormone (FSH) \< 10 micrometer (mU) / Liter * Antral follicular count \> 12 * Regular menses (25 to 35 days) * More than 3 oocytes after ovarian punction * Anti Mullerian between 1 e 3 ng/ml
Exclusion criteria
* Patients submitted to intracytoplasmatic sperm injection (ICSI) * Ovarian mass or cyst * Clinical / endocrine pathologies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of steroid secretion and enzyme expression in in vitro luteinized granulosa cells | after 48h in media culture | evaluation of granulosa cells hormone secretion and enzyme expression in media culture 48 hours after ovarian punction |
| Number of retrieved oocytes | After the ovarian punction | Immediately after the ovarian punction the number of retrieved oocytes will be evaluated |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of embryos | 3 to 5 days after ovarian punction | the embryologist will verify the number of embryos after 3 to 5 days from the ovarian punction |
| Subgroup analyses comparing FSH versus HMG protocols | after ovarian punction | It will be verified the differences between the two types of gonadotrophins in ovarian stimulation regarding: units of gonadotrophins used, number of retrieved oocytes,number of embryos and embryo score |
Countries
Brazil