Cetrorelix protocol versus gonadotropin-releasing hormone analog suppression long protocol for superovulation in intracytoplasmic sperm injection patients older than 40.

Abstract:

OBJECTIVE:To determine which protocols work better between cetrorelix and long protocols in older patients in a randomized controlled study. DESIGN:A controlled randomized study in a single private IVF center. SETTING:Infertile women referred to a private IVF center. PATIENT(S):Five hundred sixty-four women 40 years or older undergoing IVF. INTERVENTION(S):At their first IVF cycle, the women were randomized into two study groups using a computer-generated number sequence: 281 cases were treated with the cetrorelix protocol, and 283 patients were treated with a long protocol for controlled ovarian hyperstimulation. MAIN OUTCOME MEASURE(S):Days of stimulation, E(2) on the day of hCG administration, amount of FSH administered, number of oocytes yielded, number of embryos obtained, pregnancy rate, and implantation rate. RESULT(S):Patients treated with the long protocol showed a significantly higher number of oocytes retrieved and a higher pregnancy rate for both the cycle and transfer with respect to the cetrorelix protocol patients. The other parameter evaluated did not show any statistically significant differences. CONCLUSION(S):Our study showed that the long protocol performed better in older women than the cetrorelix protocol and that the GnRH antagonist may be detrimental in older women.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Sbracia M,Colabianchi J,Giallonardo A,Giannini P,Piscitelli C,Morgia F,Montigiani M,Schimberni M

doi

10.1016/j.fertnstert.2008.02.165

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

1842-7

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)00525-6

journal_volume

91

pub_type

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