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Oocyte quality in patients with severe ovarian hyperstimulation syndrome.

Abstract：

OBJECTIVE:To study the oocyte quality in patients with ovarian hyperstimulation syndrome (OHSS). DESIGN:Retrospective study. SETTING:The Egyptian IVF-ET Center. PATIENT(S):Forty-two patients who developed severe OHSS (group A) were studied for the mean number of oocytes retrieved, percentage of high-quality oocytes, embryo quality, and fertilization, implantation, and pregnancy rates; these patients were compared with an age-matched control group who did not develop OHSS (group B; n = 183) after superstimulation for IVF or intracytoplasmic sperm injection. INTERVENTION(S):In vitro fertilization and ICSI. MAIN OUTCOME MEASURE(S):Fertilization and pregnancy rates. RESULT(S):In group A, the mean number of oocytes retrieved was significantly higher, whereas the percentage of high-quality oocytes and the fertilization rate were significantly lower than that in group B. There were no statistically significant differences in the quality of embryos transferred or the implantation or pregnancy rate between the groups. The percentage of high-quality oocytes and the fertilization rate were significantly lower in patients with polycystic ovaries (PCO) in both groups. CONCLUSION(S):The inferior quality and maturity of oocytes in OHSS reduced the fertilization rate but did not affect the quality or the number of embryos transferred or the pregnancy rate. The effect on oocyte quality could be due to the prevalence of PCO in this group of patients.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Aboulghar MA,Mansour RT,Serour GI,Ramzy AM,Amin YM

doi

10.1016/s0015-0282(97)00409-3

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

1017-21

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015028297004093

journal_volume

68

pub_type

杂志文章

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