Role of the endocrine profile for the achievement of pregnancy with IVF.

Abstract:

:The predictive value of pre-ovulatory hormones for achievement of pregnancy has been extensively evaluated in assisted reproductive technologies. Currently, no high-quality evidence exists to support or deny an association between oestradiol levels on the day of human chorionic gonadotrophin (HCG) administration and pregnancy achievement in IVF cycles. Retrospective studies appear to support the lack of such an association. Progesterone elevation on the day of HCG administration does not appear to be associated with the probability of clinical pregnancy in women undergoing IVF. Finally, no retrospective studies exist to suggest that low endogenous midfollicular LH concentrations are associated with a significantly decreased probability of ongoing pregnancy beyond 12 weeks of gestation in IVF. In two prospective studies, high endogenous LH concentrations during down-regulation were associated with a decreased probability of ongoing pregnancy beyond 12 weeks of gestation. Existing studies evaluating the association between single measurements of pre-ovulatory hormones and the achievement of pregnancy are of low quality and cannot lead to solid conclusions. Based on the available literature, it appears that no association exists between single assessments of oestradiol, progesterone or LH, and pregnancy achievement.

journal_name

Reprod Biomed Online

authors

Kolibianakis EM,Venetis CA,Tarlatzis BC

doi

10.1016/s1472-6483(10)60447-6

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

37-43

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(10)60447-6

journal_volume

18 Suppl 2

pub_type

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