Expected poor ovarian response in predicting cumulative pregnancy rates: a powerful tool.

Abstract:

:Poor ovarian response in IVF cycles is associated with poor pregnancy rates. Expected poor responders may represent the worst prognostic group. Data were used from 222 patients starting the first of three IVF treatment cycles. The predictability of ongoing pregnancy after three cycles was analysed using survival analysis and hazard rate ratios. If first cycle poor responders were also predicted to have a poor response, they were classified as expected poor responders. The predicted pregnancy rate in cycles 2 and 3 for women with an observed poor response in the first cycle was approximately 24% for women aged 30 years and approximately 14% for women aged 40 years. For women with an expected poor response these rates were 12% and 6%, respectively. In contrast, women aged 40 years with an unexpected poor response still had a predicted cumulative pregnancy rate of 24%. Age as a sole predictor of cumulative pregnancy does not help to identify poor prognosis cases. Cumulative pregnancy rates in subsequent cycles for patients with an observed poor response in the first cycle may be a reason to refrain from further treatment. However, if such poor response has been expected, further treatment may be avoided because of an unfavourable prognosis for pregnancy.

journal_name

Reprod Biomed Online

authors

Hendriks DJ,te Velde ER,Looman CW,Bancsi LF,Broekmans FJ

doi

10.1016/s1472-6483(10)60323-9

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

727-36

issue

5

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(10)60323-9

journal_volume

17

pub_type

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