Induction of ovulation in idiopathic premature ovarian failure: a randomized double-blind trial.

Abstract:

:In this prospective randomized study, women with idiopathic karyotypically normal premature ovarian failure (POF) were treated with gonadotrophin-releasing hormone (GnRH) agonist and gonadotrophins with and without the addition of corticosteroids in an attempt to restore ovarian function. The study comprised 58 women with idiopathic POF randomly allocated to either GnRH agonists (GnRHa) plus gonadotrophin therapy with the addition of corticosteroids (29 patients) or GnRHa plus gonadotrophin therapy with placebo (29 patients). Ovulation occurred in six cases (20.7%) in the dexamethasone group versus three cases (10.3%) in the placebo group. There were two singleton pregnancies in the dexamethasone group. There were no reported complications from the use of dexamethasone apart from a sense of sleepiness and fatigue. The combination of corticosteroids with pituitary suppression followed by ovarian stimulation with gonadotrophin appeared to be beneficial in restoring ovarian function in patients with idiopathic POF and normal karyotype.

journal_name

Reprod Biomed Online

authors

Badawy A,Goda H,Ragab A

doi

10.1016/s1472-6483(10)60711-0

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

215-9

issue

2

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(10)60711-0

journal_volume

15

pub_type

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