Abstract:
OBJECTIVE:A high dose of prolonged gonadotropins can yield higher numbers of oocytes and embryos. The high dose or prolonged regimens can be associated with ovarian hyperstimulation syndrome (OHSS), multiple gestations, emotional stress, economical burden and treatment dropout. In mild stimulation lower doses and shorter duration times of gonadotropin are used in contrast to the conventional long stimulation protocol in IVF. It has been proposed that supraphysiologic levels of hormones may adversely affect endometrium and oocyte/embryo. Also it has been proposed that oxidative stress (OS) may alter ovarian hormone dynamics and could be further affected by additional exogenous hormonal stimulation. Therefore our aim was to compare follicular fluid total antioxidant capacity (TAC) in antagonist mild and long agonist stimulations. MATERIALS AND METHODS:Forty patients received antagonist mild stimulation, starting on the 5th day of their cycle and forty patients received long agonist treatment. Seventy-five patients undergoing their first IVF cycle were included in the final analysis. Follicular fluid (FF) samples were analyzed for estradiol (E2), antimullerian hormone (AMH) and TAC. RESULTS:FF-Total antioxidant capacity (TAC) levels were higher in the long agonist group as opposed to the antagonist group [1.07 ± 0.04 mmol Trolox equivalent/L vs 1 ± 0.13 mmol Trolox equivalent/L] (Fig. 1). Pregnancy rates were not significantly different between the two treatments. The FF-TAC levels were not different among infertility etiologies (Fig. 3). FF-TAC levels did not have a direct correlation with pregnancy but a positive correlation with the total gonadotropin dose was observed. CONCLUSION:Patients with good ovarian reserves and under the age of 35 effectively responded to mild stimulation treatment. Using lower amounts of gonadotropin, yielded less FF-TAC levels in patients who underwent antagonist mild protocol. In patients under the age of 35, antagonist mild stimulation is a patient friendly and effective procedure when undergoing their first IVF cycle.
journal_name
Taiwan J Obstet Gynecoljournal_title
Taiwanese journal of obstetrics & gynecologyauthors
Aydogan Mathyk B,Aslan Cetin B,Vardagli D,Zengin E,Sofiyeva N,Irez T,Ocal Pdoi
10.1016/j.tjog.2018.02.005subject
Has Abstractpub_date
2018-04-01 00:00:00pages
194-199issue
2eissn
1028-4559issn
1875-6263pii
S1028-4559(18)30023-8journal_volume
57pub_type
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journal_title:Taiwanese journal of obstetrics & gynecology
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journal_title:Taiwanese journal of obstetrics & gynecology
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journal_title:Taiwanese journal of obstetrics & gynecology
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journal_title:Taiwanese journal of obstetrics & gynecology
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 临床试验,杂志文章
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更新日期:2009-06-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Taiwanese journal of obstetrics & gynecology
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2013.12.001
更新日期:2014-03-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2016.12.018
更新日期:2017-08-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2014.04.007
更新日期:2014-06-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章,评审
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2006-09-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2016.04.007
更新日期:2016-06-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/S1028-4559(09)60279-5
更新日期:2009-06-01 00:00:00
abstract::Placenta previa poses a high risk for massive hemorrhage, from the antenatal period until after Cesarean section. This condition increases the risk of maternal and neonatal mortality and morbidity. In cases of placenta previa, the prenatal prediction of sudden bleeding during pregnancy and blood loss during Cesarean s...
journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.tjog.2012.01.002
更新日期:2012-03-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/S1028-4559(09)60217-5
更新日期:2006-06-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2009.05.002
更新日期:2011-03-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2013.10.005
更新日期:2013-12-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2014.03.005
更新日期:2015-04-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2011.01.035
更新日期:2011-06-01 00:00:00
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journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2012.09.021
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE:We presented a fetus affected by macrocystic lung lesions with progressive hydropic changes during the second trimester, but experienced remarkable resolution of hydrops in the third trimester after a series of in utero interventions. CASE REPORT:A 19-year-old women, G1P0, presented with fetal multilocular t...
journal_title:Taiwanese journal of obstetrics & gynecology
pub_type: 杂志文章
doi:10.1016/j.tjog.2017.04.027
更新日期:2017-06-01 00:00:00