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343523

Assessment of The Results of Short Agonist Stop Ovarian Stimulation Protocol in Poor Responder Patients Undergoing ICSI Cycles

Article

Last updated: 23 Dec 2024

Subjects

-

Tags

4. Reproductive Medicine / Minimal Acess Surgery

Abstract

Background: Poor ovarian response is defined as the collection of three or fewer oocytes in two prior ovarian stimulation 
cycles, or collection of three or fewer oocytes in a single stimulation cycle from a woman who is over 40 years of age, or 
collection of three or fewer oocytes in a single stimulation cycle and an abnormal ovarian reserve test. We aimed to determine if in poor responders' patients, the SAS stimulation protocol allows for a better number of oocytes, mature oocytes, total embryos at D2 and usable embryos in comparison with the last previous IVF attempt within the same patients.  Materials and Methods: We performed a prospective observational study on 56 women aged ≥ 18 and < 43 years who undergo an IVF protocol with the “short agonist stop" (SAS) protocol compared with the same patients' previous performance in their last IVF attempt. Enrolled patients were treated in two consecutive cycles. The first attempt was achieved with a standard protocol. Patients for whom the standard protocol has failed were treated in the subsequent cycle with the SAS protocol.
Results: Regarding the cumulative outcomes, ongoing pregnancy rate was significantly higher in SAS protocol compared 
to IVF protocol (0% vs. 12.5%, P=0.026). Number of cumulative ET, cancellation before oocyte pick, no usable embryo, 
biochemical pregnancy, and miscarriage rate were insignificantly different between both protocols.
Conclusion: The SAS stimulation protocol may offer promising results for poor responders with low prognosis and 
previous failed IVF

DOI

10.21608/ebwhj.2024.259962.1287

Keywords

embryo transfer, IVF protocol, poor ovarian response, SAS protocol

Authors

First Name

AHMED

Last Name

Fathy

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Kafrelsheikh University, Egypt

Email

ahmedfathy@gmail.com

City

-

Orcid

-

First Name

Yahya

Last Name

Edris

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt

Email

yahyaedris305@gmail.com

City

-

Orcid

-

First Name

Heba

Last Name

Abdel Razik

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt

Email

hebaabdelrazik@gmail.com

City

-

Orcid

-

Volume

14

Article Issue

1

Related Issue

46341

Issue Date

2024-02-01

Receive Date

2024-01-01

Publish Date

2024-02-01

Page Start

97

Page End

104

Print ISSN

2090-7265

Online ISSN

2090-7257

Link

https://ebwhj.journals.ekb.eg/article_343523.html

Detail API

https://ebwhj.journals.ekb.eg/service?article_code=343523

Order

343,523

Type

Original Article

Type Code

366

Publication Type

Journal

Publication Title

Evidence Based Women's Health Journal

Publication Link

https://ebwhj.journals.ekb.eg/

MainTitle

Assessment of The Results of Short Agonist Stop Ovarian Stimulation Protocol in Poor Responder Patients Undergoing ICSI Cycles

Details

Type

Article

Created At

23 Dec 2024