GnRH agonist triggering: recent developments.

Abstract:

:The concept that a bolus of gonadotrophin-releasing hormone agonist (GnRHa) can replace human chorionic gonadotrophin(HCG) as a trigger of final oocyte maturation was introduced several years ago. Recent developments in the area strengthen this premise. GnRHa trigger offers important advantages, including virtually complete prevention of ovarian hyperstimulation syndrome(OHSS), the introduction of a surge of FSH in addition to the LH surge and finally the possibility to individualize luteal-phase supplementation based on ovarian response to stimulation. We maintain that the automatic HCG triggering concept should be challenged and that the GnRHa trigger is the way to move forward with thoughtful consideration of the needs, safety and comfort of our patients.

journal_name

Reprod Biomed Online

authors

Kol S,Humaidan P

doi

10.1016/j.rbmo.2012.11.002

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

226-30

issue

3

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(12)00686-4

journal_volume

26

pub_type

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