GnRH agonist trigger for women with breast cancer undergoing fertility preservation by aromatase inhibitor/FSH stimulation.

Abstract:

:Aromatase inhibitors can be utilized to minimize oestrogen exposure in breast cancer patients undergoing gonadotrophin stimulation. This retrospective-prospective study determined whether using a gonadotrophin-releasing hormone agonist (GnRHa) trigger instead of human chorionic gonadotrophin (HCG) would reduce oestrogen exposure and improve cycle outcomes in aromatase inhibitor cycles. Seventy-four breast cancer patients who desired fertility preservation, with normal ovarian reserve and < 45 years of age received letrozole 5mg/day plus recombinant FSH 150-300 IU/day for ovarian stimulation. Subjects either received HCG 5000-10,000 IU (n=47) or leuprolide acetate 1mg (GnRHa, n=27) as trigger. Oestradiol measurements were repeated 4 days after the trigger and subjects were evaluated for ovarian hyperstimulation syndrome (OHSS). In the GnRHa group, oestradiol concentrations dropped significantly after the trigger than the HCG group (P=0.013) and there was a lower incidence of OHSS. GnRHa trigger resulted in a higher number and percentage of mature oocytes and a higher number of cryopreserved embryos or oocytes compared with HCG. GnRHa trigger improves outcomes by increasing the yield of mature oocytes and embryos in aromatase inhibitor cycles and also decreases the post-trigger oestradiol exposure as well as OHSS risks in women with breast cancer.

journal_name

Reprod Biomed Online

authors

Oktay K,Türkçüoğlu I,Rodriguez-Wallberg KA

doi

10.1016/j.rbmo.2010.03.004

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

783-8

issue

6

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(10)00129-X

journal_volume

20

pub_type

杂志文章
  • Immunoregulation in normal pregnancy and pre-eclampsia: an overview.

    abstract::Pre-eclampsia is a major disorder of human pregnancy, which may have an immunological basis. It is a disease of two stages. The first stage concerns the relative failure of early trophoblast invasion and remodelling of the spiral arteries, leading to a poor blood supply to the placenta, exposing it to oxidative stress...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,评审

    doi:10.1016/s1472-6483(10)60659-1

    authors: Sargent IL,Borzychowski AM,Redman CW

    更新日期:2006-11-01 00:00:00

  • 'By the work, one knows the workman': the practice and profession of the embryologist and its translation to quality in the embryology laboratory.

    abstract::The embryologist presides over the fulfillment of a patient's treatment in the laboratory for IVF through use of assisted reproduction techniques, and is in a unique position to impart quality to the process. Although the technical skill of the embryologist is critical, the embryologist's contribution to quality is eq...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,评审

    doi:10.1016/j.rbmo.2015.07.006

    authors: Go KJ

    更新日期:2015-10-01 00:00:00

  • Beyond the 'embryo question': human embryonic stem cell ethics in the context of biomaterial donation in the UK.

    abstract::Discussion about the ethics of human embryonic stem cell (ESC) research in the UK tends to be dominated by the divisive and potentially intractable issue of the moral status of the embryo. This can have the effect of silencing or marginalizing other concerns, especially in the context of public engagement with science...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,评审

    doi:10.1016/j.rbmo.2010.10.001

    authors: Bahadur G,Morrison M,Machin L

    更新日期:2010-12-01 00:00:00

  • Prospective randomized comparison of Wallace and Labotect embryo transfer catheters.

    abstract::The aim of this study was to compare the clinical performance of Wallace and Labotect embryo transfer catheters in a single assisted reproduction centre. A total of 260 women undergoing embryo transfer were randomized between Wallace and Labotect catheters. When both catheters failed to negotiate the cervical canal, t...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/s1472-6483(10)60895-4

    authors: Ata B,Isiklar A,Balaban B,Urman B

    更新日期:2007-04-01 00:00:00

  • Relationship between embryo quality and aneuploidies.

    abstract::Many high-grade embryos selected for transfer according to their morphological evaluation were detected to have chromosomal abnormalities after aneuploidy screening for infertility by preimplantation genetic diagnosis (PGD). The aim of this study was to detect if there is any correlation between embryo quality and gen...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)60984-4

    authors: Baltaci V,Satiroglu H,Kabukçu C,Unsal E,Aydinuraz B,Uner O,Aktas Y,Cetinkaya E,Turhan F,Aktan A

    更新日期:2006-01-01 00:00:00

  • Early versus delayed follow-up after misoprostol treatment for early pregnancy loss.

    abstract:RESEARCH QUESTION:Does extending the follow-up after misoprostol treatment for early pregnancy loss increase the success rate? DESIGN:Patients who had experienced early pregnancy loss (<12 weeks) and were treated with misoprostol in a single university-affiliated medical centre were prospectively followed before and a...

    journal_title:Reproductive biomedicine online

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.rbmo.2019.02.011

    authors: Mizrachi Y,Tamayev L,Shemer O,Kleiner I,Bar J,Sagiv R

    更新日期:2019-07-01 00:00:00

  • Further thoughts regarding evidence offered in support of the 'Barker hypothesis'.

    abstract::The original objection to the paper by Kwong et al. was that the use of an inappropriate (between-pup) estimate of experimental error had exaggerated the importance of the maternal nutrition effect. From the group's most recent response, it has been possible to regenerate the raw data and carry out a further detailed ...

    journal_title:Reproductive biomedicine online

    pub_type: 评论,杂志文章

    doi:10.1016/s1472-6483(10)62121-9

    authors: Walters E,Edwards RG

    更新日期:2004-08-01 00:00:00

  • Are morphokinetic parameters of embryo development associated with adverse perinatal outcomes following fresh blastocyst transfer?

    abstract:RESEARCH QUESTION:Are obstetric and perinatal complications associated with morphokinetic parameters of embryo development? DESIGN:This proof-of-concept pilot study included a retrospective analysis of embryo morphokinetic parameters of 85 live births following day 5 single blastocyst transfer. Kinetic variables inclu...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2020.09.030

    authors: Doron-Lalehzari A,Wainstock T,Szaingurten-Solodkin I,Richter D,Zeadna A,Harlev A,Lunenfeld E,Levitas E,Har-Vardi I

    更新日期:2021-01-01 00:00:00

  • Prevention of intra-peritoneal adhesions in gynaecological surgery: theory and evidence.

    abstract::Post-operative adhesions are a significant complication of all abdominal surgical procedures. The major strategies for adhesion prevention in gynaecological surgery are focused on the optimization of surgical technique and use of anti-adhesive agents, which fall into two main categories: pharmacological agents and bar...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,评审

    doi:10.1016/j.rbmo.2010.04.021

    authors: Pados G,Venetis CA,Almaloglou K,Tarlatzis BC

    更新日期:2010-09-01 00:00:00

  • Production of the first offspring from oocytes derived from fresh and cryopreserved pre-antral follicles of adult mice.

    abstract::Although mammalian ovaries contain hundreds of thousands of pre-antral follicles, fewer than 1% of these reach maturity and ovulation. Obtaining immature eggs from the pre-antral follicles of ovarian tissue could increase the possibility of preserving fertility in women undergoing anti-cancer treatment, and in women w...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)60670-0

    authors: Kagawa N,Kuwayama M,Nakata K,Vajta G,Silber S,Manabe N,Kato O

    更新日期:2007-06-01 00:00:00

  • Comparison of the psychological evaluation test and classical psychoanalysis in infertile women.

    abstract::This study aims to compare a psychological evaluation test to classical psychoanalysis in infertile women. Two hundred women were submitted to the Psychological Evaluation Test (PET). The sum of the scores for the responses ranged from 15 to 60 points, with scores >/=30 points being defined as 'psycho-emotional maladj...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)60492-0

    authors: Franco JG Jr,Silva PG,Achê RS,Baruffi RR,Mauri AL,Petersen CG,Felipe V,Vagnini L,Oliveira JB

    更新日期:2004-01-01 00:00:00

  • In-vivo concentrations of inhibins, activin A and follistatin in human early pregnancy.

    abstract::The aims of this study were to investigate the relationship between inhibins, activin A and follistatin in first trimester fetal fluids, maternal serum, placenta and decidua, and to investigate if these hormones are present in the circulation of the early second trimester human fetus. Amniotic and coelomic fluid, mate...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)61653-7

    authors: Muttukrishna S,Jauniaux E,McGarrigle H,Groome N,Rodeck CH

    更新日期:2004-06-01 00:00:00

  • Randomized, controlled, open-label, non-inferiority study of the CONSORT algorithm for individualized dosing of follitropin alfa.

    abstract::In this randomized, controlled, open-label, phase IV study, ovarian response after a follitropin alfa starting dose determined by the CONSORT calculator was compared with a standard dose (150 IU). Normo-ovulatory women (aged 18-34 years) eligible for assisted reproductive techniques were recruited (23 centres: nine Eu...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.rbmo.2014.11.013

    authors: Olivennes F,Trew G,Borini A,Broekmans F,Arriagada P,Warne DW,Howles CM

    更新日期:2015-03-01 00:00:00

  • Comparative assessment of the consistency and quality of a highly purified FSH extracted from human urine (urofollitropin) and a recombinant human FSH (follitropin alpha).

    abstract::The revolutionary development of biotechnology-derived therapeutic proteins has provided the expected improvements in quality, purity and consistency, as demonstrated in recombinant human FSH (rhFSH). However, the development of urine-derived gonadotrophins has not always shown comparable improvements. More recently, ...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)60613-x

    authors: Lispi M,Bassett R,Crisci C,Mancinelli M,Martelli F,Ceccarelli D,De Bellis C,Mendola D

    更新日期:2006-08-01 00:00:00

  • Emerging technologies for the molecular study of infertility, and potential clinical applications.

    abstract::The techniques currently used to treat infertility cases are quite limited in their capabilities, due to an incomplete understanding of the molecular activities of germ cells. Fortunately, several technologies are presently being researched that should aid the understanding of the various molecular causes of germ cell...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,评审

    doi:10.1016/s1472-6483(10)60372-0

    authors: Varghese AC,Goldberg E,Bhattacharyya AK,Agarwal A

    更新日期:2007-10-01 00:00:00

  • Multiple pregnancies after assisted reproduction--international comparison.

    abstract::The high incidence of multiple pregnancies after application of techniques for assisted reproduction is a phenomenon of major concern worldwide. High order multiples in particular have to be regarded as a serious adverse event. However, data show that in Europe, although the situation varies from country to country, m...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)62252-3

    authors: Felberbaum RE

    更新日期:2007-01-01 00:00:00

  • Effects of lifestyle modification in polycystic ovarian syndrome.

    abstract::Polycystic ovarian syndrome (PCOS) is a common endocrine condition with reproductive and metabolic consequences, including anovulation, infertility and an increased prevalence of diabetes mellitus. Obesity, central obesity and insulin resistance are strongly implicated in its aetiology. Dietary weight loss is recommen...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,评审

    doi:10.1016/s1472-6483(10)61182-0

    authors: Moran LJ,Brinkworth G,Noakes M,Norman RJ

    更新日期:2006-05-01 00:00:00

  • Removal of cervical mucus: effect on pregnancy rates in IVF/ICSI.

    abstract::Cervical mucus may cover the embryo transfer catheter during passage of the cervical canal, interfering with the correct placement of the embryo(s) into the uterine cavity. The effect of removal of cervical mucus prior to embryo transfer in IVF/ intracytoplasmic sperm injection (ICSI) on live birth rate was studied. T...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/s1472-6483(10)60344-6

    authors: Visschers BA,Bots RS,Peeters MF,Mol BW,van Dessel HJ

    更新日期:2007-09-01 00:00:00

  • Oocyte zona birefringence intensity is associated with embryonic implantation potential in ICSI cycles.

    abstract::A retrospective study recently showed that oocytes presenting with a high birefringence of the inner zona layer were more often associated with conception cycles. To further investigate these findings, a prospective study was conducted between September 2005 and September 2006 including intracytoplasmic sperm injectio...

    journal_title:Reproductive biomedicine online

    pub_type: 临床试验,杂志文章

    doi:10.1016/s1472-6483(10)60580-9

    authors: Montag M,Schimming T,Köster M,Zhou C,Dorn C,Rösing B,van der Ven H,Ven der Ven K

    更新日期:2008-02-01 00:00:00

  • Chemiluminescence technique for measuring reactive oxygen species.

    abstract::Accurate assessment of reactive oxygen species (ROS) concentrations may help in the diagnosis of infertility. The chemiluminescence technique, which uses a luminometer to measure ROS, is a common method of assessment. A better understanding of the chemiluminescence technique will allow its proper application in reprod...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)61284-9

    authors: Agarwal A,Allamaneni SS,Said TM

    更新日期:2004-10-01 00:00:00

  • Preimplantation diagnosis for long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency.

    abstract::Long-chain 3-hydroxyacyl-CoA dehydrogenase (LCHAD) deficiency is a fatal autosomal recessive metabolic disorder, presenting during infancy. Preimplantation genetic diagnosis (PGD) provides an option for establishing an unaffected pregnancy, avoiding the risk for termination of pregnancy following prenatal diagnosis. T...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)62183-9

    authors: Verlinsky Y,Rechitsky S,Verlinsky O,Strom C,Kuliev A

    更新日期:2001-01-01 00:00:00

  • Uterine sperm-egg transfer: a cost-effective alternative to IVF in anovulatory women.

    abstract::Anovulatory women can prove extremely challenging patients in the fertility clinic, particularly if they are unresponsive to standard protocols of clomiphene citrate. Katayama and colleagues now report (in this issue) an intriguing option, which yielded surprisingly high success rates in 16 selected young (age <36year...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2010.03.010

    authors: Ahuja KK,Andonov M,Linara E,Simons E

    更新日期:2010-06-01 00:00:00

  • Investigation of anti-Müllerian hormone concentrations in relation to natural conception rate and time to pregnancy.

    abstract::The objectives of this study were to investigate whether anti-Müllerian hormone (AMH) concentrations can predict pregnancy rates and time to pregnancy (TTP) in women attempting to conceive naturally/having an unplanned conception, and whether there is a lower AMH threshold compatible with natural conception. This pros...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2018.01.013

    authors: Korsholm AS,Petersen KB,Bentzen JG,Hilsted LM,Andersen AN,Hvidman HW

    更新日期:2018-05-01 00:00:00

  • Screening for mutations of the FOXO4 gene in premature ovarian failure patients.

    abstract::FOXO4 constitutes a coherent candidate gene associated with premature ovarian failure (POF) pathogenesis. This study sequenced the coding and exon-flanking regions of this gene in a panel of 116 POF patients and 143 controls of Tunisian origin. In both groups, the IVS2 + 41T > G sequence variant was identified. It is ...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2011.11.017

    authors: Fonseca DJ,Garzón E,Lakhal B,Braham R,Ojeda D,Elghezal H,Saâd A,Restrepo CM,Laissue P

    更新日期:2012-03-01 00:00:00

  • Perspectives, experiences, and choices of parents of children conceived following oocyte donation.

    abstract::This paper reports on and discusses the findings of an online survey initiated by the Donor Sibling Registry of 108 parents of children conceived following oocyte donation. Respondents generally supported early disclosure of donor conception to the child, although some bias in favour of disclosure cannot be excluded, ...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2012.10.013

    authors: Blyth E,Kramer W,Schneider J

    更新日期:2013-02-01 00:00:00

  • Characterization of a recurrent poor-quality embryo morphology phenotype and zygote transfer as a rescue strategy.

    abstract::Some patients in IVF programmes repeatedly display an abnormal embryonic development characterized as soon as day 2 post fertilization by a high rate (>60%) of highly fragmented embryos (⩾40% of cytoplasmic fragments) leading to recurrent IVF failures. This study postulated that, for various maternal reasons, some emb...

    journal_title:Reproductive biomedicine online

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.rbmo.2012.01.004

    authors: Sermondade N,Delarouzière V,Ravel C,Berthaut I,Verstraete L,Mathieu E,Antoine JM,Mandelbaum J

    更新日期:2012-04-01 00:00:00

  • Retrospective analysis of 1217 IVF cycles in women aged 40 years and older.

    abstract::Older women comprise an increasing portion of patients entering assisted reproduction programmes. This study is a retrospective summary of the files of all patients aged 40 years and older at advent of IVF, between 1995 and 2004, in the authors' centre. In all, 381 women underwent 1217 initiated treatment cycles. Embr...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/s1472-6483(10)60878-4

    authors: Tsafrir A,Simon A,Revel A,Reubinoff B,Lewin A,Laufer N

    更新日期:2007-03-01 00:00:00

  • Vaginal microbiota profile at the time of embryo transfer does not affect live birth rate in IVF cycles with donated oocytes.

    abstract:RESEARCH QUESTION:What is the relationship between the vaginal microbiota profile at the time of embryo transfer and live birth rates in women undergoing IVF/intracytoplasmic sperm injection (ICSI) with donated oocytes? DESIGN:One hundred and fifty Caucasian women receiving donated oocytes were prospectively included ...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2018.12.019

    authors: Vergaro P,Tiscornia G,Barragán M,García D,Rodriguez A,Santaló J,Vassena R

    更新日期:2019-06-01 00:00:00

  • Gonadotrophins or clomiphene citrate in couples with unexplained infertility undergoing intrauterine insemination: a cost-effectiveness analysis.

    abstract:RESEARCH QUESTION:What is the cost-effectiveness of gonadotrophins compared with clomiphene citrate in couples with unexplained subfertility undergoing intrauterine insemination (IUI) with ovarian stimulation under strict cancellation criteria? DESIGN:A cost-effectiveness analysis alongside a randomized controlled tri...

    journal_title:Reproductive biomedicine online

    pub_type: 杂志文章

    doi:10.1016/j.rbmo.2019.09.004

    authors: Danhof NA,van Wely M,Repping S,van der Ham DP,Klijn N,Janssen ICAH,Rijn-van Weert JM,Twisk M,Traas MAF,Pelinck MJ,Perquin DAM,Boks DES,Sluijmer A,Mol BWJ,van der Veen F,Mochtar MH,Amsterdam SUPER Study Group.

    更新日期:2020-01-01 00:00:00

  • Invited commentary on 'Robert G Edwards and the Roman Catholic Church'.

    abstract::The paper 'Robert G. Edwards and the Roman Catholic Church' by Benagiano and colleagues in this issue of Reproductive BioMedicine Online is a very important and timely article published by well-informed authors on the occasion of the long-awaited award of the Nobel Prize to a well-deserved scientist, Bob Edwards. I fo...

    journal_title:Reproductive biomedicine online

    pub_type: 评论,杂志文章

    doi:10.1016/j.rbmo.2011.03.006

    authors: Serour G

    更新日期:2011-06-01 00:00:00