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270494

Comparison between Soft and Conventional Antagonist protocols for Estradiol Level and Number of Growing Follicles in Women of Poor Ovarian Response

Article

Last updated: 03 Jan 2025

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Abstract

Introduction: Poor ovarian responders (PORs) are defined as the group of infertile women who are characterized by decreased response of the ovaries to stimulation. Recently using soft protocol with low doses of Gn with/without oral compounds like letrozole seems superior to the conventional high doses since it is less cost-effective. Objective: Comparing of soft versus conventional GnRH-antagonist protocol in POR for estradiol level and number of growing follicles. Patients and Methods: This was a prospective randomized controlled trial including eighty infertile POR according to Bologna criteria that were divided into two equal groups and undergoing IVF (In vitro fertilization)/ICSI (Intracytoplasmic sperm injection) antagonist protocols. One group underwent soft protocol by using letrozole 2.5 mg twice daily for 5 days starting from cycle day 2-3 overlapped low-dose Gn 225 IU from cycle day 4-5. Other group received high dose Gn only 450 IU from cycle day 2-3. Results: Basal demographic characteristics and hormones, comparison showed no significant difference. The mean AFC was not significantly different (P > 0.05) between the two groups with the number of the growing follicles at day of starting antagonist and at day of trigger. There is a significant difference in the total units of Gn used.   Conclusion: Soft protocol is a good option for POR since obtaining the same ovarian response with less cost.  

DOI

10.21608/ejhm.2022.270494

Keywords

poor ovarian responders, Soft stimulation, Conventional stimulation, Letrozole, Gonadotropins

Authors

First Name

Nidhal Salim

Last Name

Alwan

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Affiliation

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Email

nalooly@yahoo.com

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Orcid

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First Name

Manal Taha

Last Name

Al-Obaid

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Lubna

Last Name

Al-Anbari

MiddleName

-

Affiliation

-

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City

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Orcid

-

Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-11-19

Publish Date

2022-10-01

Page Start

6,561

Page End

6,567

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_270494.html

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https://ejhm.journals.ekb.eg/service?article_code=270494

Order

76

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison between Soft and Conventional Antagonist protocols for Estradiol Level and Number of Growing Follicles in Women of Poor Ovarian Response

Details

Type

Article

Created At

22 Jan 2023