ovarian ageing ovarian reserve
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Case group: Female age * 40 years Regular menstrual cycles (i.e. mean cycle length of 21-35 days) First IVF with ICSI and PGD treatment cycle due to a female pathogenic BRCA mutation Written informed consent;Control group: Female age * 18 years and * 40 years Regular menstrual cycles (i.e. mean cycle length of 21-35 days, with the next menstrual period predictable within a 7 days* time frame) First IVF with ICSI and PGD treatment cycle due to an indication unsuspected for reduced ovarian reserve status Written informed consent
Exclusion criteria
Exclusion criteria: Case group: Ovarian surgery Chemotherapy Radiation therapy to the pelvis, lower abdomen or total body radiation Known female endocrine or autoimmune abnormalities (i.e. Cushing syndrome, type I Diabetes Mellitus, hypothyroidism, hyperprolactinemia, adrenal insufficiency, hypoparathyriodism, myasthenia gravis, rheumatoid arthritis, systemic lupus erythematosus) Body Mass Index > 30 kg/m2 Polycystic Ovarian Syndrome (Rotterdam criteria) Early follicular FSH > 15 IU/L Known HIV infection Known genetic abnormalities, suspected for subfertility (structural or numerical abnormalities of the X-chromosome (i.e. Turner*s syndrome, fragile X syndrome), or abnormalities of human autosomal functionally relevant genes suspected for subfertility, other than a BRCA mutation. ;Control group: Ovarian surgery Chemotherapy Radiation therapy to the pelvis, lower abdomen or total body radiation Known female endocrine or autoimmune abnormalities (i.e. Cushing syndrome, type I Diabetes Mellitus, hypothyroidism, hyperprolactinemia, adrenal insufficiency, hypoparathyriodism, myasthenia gravis, rheumatoid arthritis, systemic lupus erythematosus) Body Mass Index > 30 kg/m2 Polycystic Ovarian Syndrome (Rotterdam criteria) Early follicular FSH > 15 IU/L Known HIV infection Known genetic abnormalities, suspected for subfertility (structural or numerical abnormalities of the X-chromosome (i.e. Turner*s syndrome, fragile X syndrome), or abnormalities on human autosomal functionally relevant genes suspected for subfertility. PGD requested for structural chromosomal abnormalities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ovarian ageing measured by serum AMH levels. | — |
Secondary
| Measure | Time frame |
|---|---|
| Antral follicle count Ovarian response (oocytes yielded, MII ooocytes, poor response) Clinical pregnancy rate Ongoing pregnancy rate | — |
Countries
Netherlands