Ovarian Stimulation
Conditions
Keywords
ovarian response, stimulation protocols, stimulation monitoring, follicular stimulating hormone
Brief summary
This study examines if monitoring serum Follicle Stimulation Hormone (FSH) levels can predict oocyte yield and progesterone levels, considering factors like age, baseline FSH, Antral Mullerian Hormone (AMH), antral follicle count, body weight, kidney function, and urinary FSH. The aim is to find a minimum FSH level that ensures optimal ovarian response and enables tailored FSH dosages for better outcomes.
Detailed description
Ovarian stimulation typically uses transvaginal ultrasound to monitor follicle growth and endometrial condition, with some clinics also tracking serum estradiol and progesterone levels, but often neglecting serum Follicle Stimulation Hormone (FSH). FSH is essential for follicle development, yet its levels can vary widely among women receiving the same dose due to factors like body weight, renal function, and ovarian reserve. This study aims to identify a minimum effective FSH threshold that ensures optimal follicular growth while avoiding excess administration.
Interventions
Women will be given 300 IU Gonal-F daily from cycle day 2 or 3. Gonal F will be injected at 8 pm daily. They will all receive cetrorelix acetate 250 mcg/day (Cetrotide) subcutaneously from stimulation day 5 onwards until and including the trigger day. Cetrotide will be administered at 08:00 am.
Sponsors
Study design
Eligibility
Inclusion criteria
* regular 21 - 35 days cycles * BMI between 19 - 30 kg/m2 * serum AMH level between 1.5 to 3 ng/ml * a total antral follicle count between 10 to 24 * endogenous early follicular phase serum FSH level \<10 IU/L * normal glomerular filtration rate
Exclusion criteria
* hypogonadotropic hypogonadism * history of ovarian surgery * permanent ovarian cysts of any form * older than 39 years * abnormal thyroid stimulating hormone (TSH) * renal disease * elevated prolactin levels * intake of oral contraceptives 3 months before stimulation start and estradiol pretreatment will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantitative Measurement of Serum Follicle-Stimulating Hormone (FSH) Levels During Ovarian Stimulation Using Serum Assays. | 1 year | serum FSH levels during ovarian stimulation |
Countries
United Arab Emirates