Infertility
Conditions
Keywords
infertility ICSI OHSS Calcium Dobesilate Cabergoline
Brief summary
The purpose of this study is to compare the effect of oral Calcium Dobesilate to oral Cabergoline in the prevention of ovarian hyperstimulation syndrome (OHSS) in high-risk women underwent intracytoplasmic sperm injection (ICSI).
Detailed description
Two hundred and twenty women at risk of ovarian hyperstimulation syndrome during ICSI cycles will be randomly scheduled into two equal groups. In group A, (Calcium Dobesilate group), 1 cap / 8 hs Doxium ( 500mg) will be given at day of HCG injection and for 21 days; while in group B (Cabergoline group), 1 tab/day Cabergoline( 0.5 mg) will be given at day of HCG injection and for 8 days.
Interventions
1 cap / 8 hs Calcium Dobesilate ( 500mg) will be given at day of HCG injection and for 21 days
1 tab/day Cabergoline( 0.5 mg) will be given at day of HCG injection and for 8 days
Sponsors
Study design
Eligibility
Inclusion criteria
Patients enrolled in the study were infertile women undergoing ICSI with one of the following criteria: previous episodes of OHSS, polycystic ovaries (i.e., \> 24 antral follicles present on baseline ultrasound examination), high AMH (\> 3.0 ng/mL), large number of small follicles (8 to 12 mm) seen on ultrasound during ovarian stimulation, high s.E2 at hCG trigger (E2 \>3000 pg/ml or rapidly rising s.E2), presence of \> 20 follicles by ultrasound on day of retrieval or large number of oocytes retrieved (\> 20).
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with ovarian hyperstimulation syndrome (OHSS) | weekly for eight weeks | this will be assessed by: Clinically: Abdominal bloating Mild abdominal pain Nausea ± vomiting Oliguria Acute respiratory distress syndrome By ultrasound Ovarian size usually ˃8 cm Ultrasound evidence of ascites Laboratory Haemoconcentration haematocrit ˃45% Hypoproteinaemia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pregnancy rate | 14 days after embryos transfer | β-hCG (serum hCG test) will be checked 14 days after embryos transfer |
Countries
Egypt