Use of GnRH antagonists in ovarian stimulation for assisted reproductive technologies compared to the long protocol. Meta-analysis.

Abstract:

:The use of GnRH antagonists has revolutionized ovarian stimulation for assisted reproduction. Two GnRH antagonists are clinically available, namely, cetrorelix and ganirelix. Several studies have directly compared these new stimulation protocols against the long GnRH agonist protocol. To evaluate whether there is a reduction in cases of ovarian hyperstimulation syndrome (OHSS) and/or a reduction in pregnancy rates, a meta-analysis was performed. There was a significant reduction of OHSS cases in the cetrorelix studies (odds ratio, OR, 0.23; 95% confidence interval, CI, 0.10-0.54), but no reduction for ganirelix (OR 1.13; 95% CI 0.24-5.31). The incidence of OHSS degree III cases was reduced in the cetrorelix protocols as compared to the long protocol to a nearly significant degree (OR 0.26; 95% CI 0.07-1.01). Ganirelix did not reduce the incidence of OHSS degree III at all (OR 1.08; 95% CI 0.27-4.38). The pregnancy rate per cycle was significantly lower in the ganirelix protocols than in the long protocol (OR 0.76; 95% CI 0.59-0.98). The studies using cetrorelix showed quite similar, not significantly different results for the antagonist and the long protocol groups for the pregnancy rate per cycle (OR 0.91; 95% Cl 0.68-1.22). From the data one can conclude that cetrorelix but not ganirelix will reduce the incidence of cases of OHSS and that cetrorelix but not ganirelix will result in the same pregnancy rates as the long protocol. Several possibilities to explain this phenomenon are discussed.

journal_name

Arch Gynecol Obstet

authors

Ludwig M,Katalinic A,Diedrich K

doi

10.1007/s00404-001-0267-2

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

175-82

issue

4

eissn

0932-0067

issn

1432-0711

journal_volume

265

pub_type

杂志文章,meta分析
  • KIT-positive primary small cell carcinoma of the endometrium: a case report with immunohistochemical and molecular genetic analysis of KIT and PDGFRA genes.

    abstract:BACKGROUND:Primary small cell carcinoma of the endometrium is very rare, and there have been no reports on KIT and PDGFRA in endometrial small cell carcinoma. CASE REPORT:An 87-year-old woman was admitted to our hospital because of genital bleeding. Endometrial cytology and biopsy revealed small cell carcinoma. Scruti...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-009-1324-5

    authors: Terada T

    更新日期:2010-10-01 00:00:00

  • Prognostic roles of neutrophil to lymphocyte ratio and platelet to lymphocyte ratio in ovarian cancer: a meta-analysis of retrospective studies.

    abstract:PURPOSE:The systemic inflammatory response markers have been reported to be associated with the prognosis of various cancers. We conducted this meta-analysis of retrospective studies to evaluate and identify the prognostic impact of neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) on ovarian ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00404-018-4678-8

    authors: Zhao Z,Zhao X,Lu J,Xue J,Liu P,Mao H

    更新日期:2018-04-01 00:00:00

  • The role of HPV DNA testing in the follow-up of cervical intraepithelial neoplasia after loop electrosurgical excision procedure.

    abstract:OBJECTIVES:To assess human papilloma viruses (HPV) DNA test for detection of recurrences in cervical intraepithelial neoplasia (CIN) patients after loop electrosurgical excision procedure (LEEP). Also effect of LEEP on the clearance of HPV infection was evaluated for CIN 1 lesions. METHODS:HPV DNA positive 37 patients...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00404-010-1530-1

    authors: Dogan NU,Salman MC,Yuce K

    更新日期:2011-04-01 00:00:00

  • Is increased maternal endothelin-1 concentration associated with neonatal asphyxia and preterm delivery in intrahepatic cholestasis of pregnancy?

    abstract:OBJECTIVES:To evaluate plasma endothelin-1 (ET-1) and fetuin-A concentrations in women with intrahepatic cholestasis of pregnancy (ICP) and to determine whether there is any association between these parameters and fetal asphyxia. METHODS:We carried out a prospective case-control study consisting of 32 women with ICP ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-009-1261-3

    authors: Kebapcilar AG,Kebapcilar L,Taner CE,Bozkaya G,Sahin G,Gokulu SG

    更新日期:2010-12-01 00:00:00

  • Color Doppler ultrasound (CDU) in the diagnosis of obstructive hydronephrosis in pregnant women.

    abstract:PURPOSE:Color Doppler ultrasound (CDU) accuracy of kidneys and bladder in the diagnosis and treatment of hydronephrosis and/or renal colic in pregnancies was evaluated. METHODS:Between January 2010 and September 2012, 234 pregnant women asymptomatic in 204 cases and with unilateral renal colic in 30 (median 26 years) ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-013-2768-1

    authors: Pepe F,Pepe P

    更新日期:2013-09-01 00:00:00

  • The fertility and pregnancy outcomes of the patients who underwent preservative operation followed by adjuvant chemotherapy for malignant ovarian tumors.

    abstract::The fertility and pregnancy outcomes of the patients were studied, who previously underwent preservative operation for malignant tumors, including those of borderline malignancy, in our ward from 1981 to 1995. For each of the 9 patients, unilateral ovary was preserved, the range of their ages before operation was 10 t...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s004040000094

    authors: Yoshinaka A,Fukasawa I,Sakamoto T,Tanaka M,Ota Y,Inaba N

    更新日期:2000-11-01 00:00:00

  • Giant oocytes in human in vitro fertilization treatments.

    abstract:PURPOSE:Giant oocytes are potential sources of chromosomal abnormalities and should thus never be used in in vitro fertilization and embryo transfer (IVF-ET) procedures. The presence of giant oocytes may indicate the efficiency of the ovarian stimulation and can refer to the quality of sibling oocytes. METHODS:IVF cyc...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-015-3679-0

    authors: Lehner A,Kaszas Z,Murber A,Rigo J Jr,Urbancsek J,Fancsovits P

    更新日期:2015-09-01 00:00:00

  • Dietary acrylamide intake and risk of endometrial cancer in prospective cohort studies.

    abstract:PURPOSE:Acrylamide has been associated with carcinogenicity in experimental animals, but potential health risks of dietary acrylamide intake and endometrial cancer in human are inconclusive. Thus, a meta-analysis of prospective cohort studies was conducted to provide a quantitative assessment of the association between...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00404-014-3595-8

    authors: Je Y

    更新日期:2015-06-01 00:00:00

  • Ovarian stimulation after dehydroepiandrosterone supplementation in poor ovarian reserve: a randomized clinical trial.

    abstract:OBJECTIVE:This study aimed at improving fertility rates among infertile women with poor ovarian reserve. METHODS:This was a randomized clinical trial conducted in the outpatient clinic of a tertiary hospital. We recruited infertile women with poor ovarian reserve. The study population was divided into 2 groups, each o...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-020-05603-5

    authors: Elprince M,Kishk EA,Metawie OM,Albiely MM

    更新日期:2020-08-01 00:00:00

  • Successful conservative treatment of catamenial pneumothorax with GnRH agonist.

    abstract::A thirty four year old woman with recurrent catamenial pneumothorax is described. Pleural endometriosis was suspected and cytologic examination of fluid drained from the right pleural cavity showed glandular cell clusters of probable endometrial origin. The patient received a long-acting GnRH agonist (Triptorelin-Arve...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/BF01314646

    authors: Lolis D,Adonakis G,Kontostolis E,Pneumatikos J,Malamou-Mitsi V

    更新日期:1995-01-01 00:00:00

  • Randomized comparison of total laparoscopic, laparoscopically assisted vaginal and vaginal hysterectomies for myomatous uteri.

    abstract:PURPOSE:To compare the operative data and early postoperative outcomes of total laparoscopic hysterectomy (TLH), laparoscopically assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy (VH). METHODS:One hundred and eight women requiring hysterectomy for enlarged myomatous uterus were randomly allocated into thr...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-014-3228-2

    authors: Sesti F,Cosi V,Calonzi F,Ruggeri V,Pietropolli A,Di Francesco L,Piccione E

    更新日期:2014-09-01 00:00:00

  • Morphological evaluation of lateral ventricles of fetuses with ventriculomegaly by three-dimensional ultrasonography and magnetic resonance imaging: correlation with etiology.

    abstract:PURPOSE:To evaluate morphology of lateral ventricles of ventriculomegaly/hydrocephaly fetuses using 3D-sonography by virtual organ computer-aided analysis (VOCAL) technique and magnetic resonance imaging (MRI) and verify morphologic patterns related to etiology. METHODS:Seventeen fetuses presenting with ventricular en...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-010-1666-z

    authors: Haratz KK,Nardozza LM,de Oliveira PS,Rolo LC,Milani HJ,de Sá Barreto EQ,Araujo Júnior E,Ajzen SA,Moron AF

    更新日期:2011-08-01 00:00:00

  • Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient.

    abstract::We report a case of acute disseminated intravascular coagulation (DIC) developed during menstruation in an adenomyosis patient. No known predisposing factor for DIC such as infection or pregnancy was involved in this case. As anticoagulation therapy and supplementation of coagulation factors quickly improve the state,...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s004040100243

    authors: Nakamura Y,Kawamura N,Ishiko O,Ogita S

    更新日期:2002-12-01 00:00:00

  • Prevalence and risk factors concerning postpartum depression among women within early postnatal periods in Turkey.

    abstract:PURPOSE:Postpartum depression (PPD) stands out as an important health issue that affects not only the mother but her partner and the entire family. A few studies from Turkey have found the high prevalence for PPD. In the current study we aimed: (1) to report the prevalence of postpartum depression among Turkish women i...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-010-1402-8

    authors: Ozbaşaran F,Coban A,Kucuk M

    更新日期:2011-03-01 00:00:00

  • Risk of parametrial invasion in women with early stage cervical cancer: a meta-analysis.

    abstract:PURPOSE:To first evaluate the predictive value of lymph-vascular space invasion (LVSI) and pelvic lymph node metastases (LNM) to parametrial invasion (PI) in patients with early stage cervical cancer. METHODS:A systematic search of electronic databases was conducted to identify publications exploring the association b...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00404-017-4597-0

    authors: Ma C,Zhang Y,Li R,Mao H,Liu P

    更新日期:2018-03-01 00:00:00

  • Pregnancy outcomes in patients with Alport syndrome.

    abstract:PURPOSE:To analyze the maternal and obstetric outcomes of patients with Alport syndrome. METHODS:We describe the pregnancy course of 8 pregnancies of three family members with the autosomal dominant (the rarest) form of Alport syndrome. We also analyzed 10 previously reported pregnancies with other Alport mutations in...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-015-3893-9

    authors: Yefet E,Tovbin D,Nachum Z

    更新日期:2016-04-01 00:00:00

  • Metformin and ovarian cancer survival: is there a rational warrant for belief?

    abstract::Metformin (MF) represents the first-line drug used to treat type 2 diabetes. Recently, MF has also been reported to be a potential and promising anti-cancer agent for some gynecological cancers' prevention. MF, as an anti-tumorigenic factor, may reduce the chance of developing ovarian cancer by targeting IL-6. By acti...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 新闻

    doi:10.1007/s00404-019-05252-3

    authors: Mormile R

    更新日期:2019-10-01 00:00:00

  • The effect of vaginally administered genistein in comparison with hyaluronic acid on atrophic epithelium in postmenopause.

    abstract:PURPOSE:The quality of life in postmenopause is seriously affected by the symptoms related to vaginal atrophy. To evaluate in a 3-month, prospective, randomized, double blind, study whether vaginal suppositories containing genistein might improve genital symptoms, colposcopical and cytologic findings or modify DNA cyto...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00404-010-1545-7

    authors: Le Donne M,Caruso C,Mancuso A,Costa G,Iemmo R,Pizzimenti G,Cavallari V

    更新日期:2011-06-01 00:00:00

  • Endometrial adenocarcinoma with osteoclastic giant cells in stroma: a case report and review of literature.

    abstract::It is rare to find osteoclastic giant cells (OGCs) as a stromal reaction in uterine adenocarcinoma of endometrium. Here, we report a case of a 60-year-old female diagnosed with adenocarcinoma of endometrium. Total hysterectomy with bilateral salpingo-oopherectomy and removal of pelvic lymphnodes was performed. Histolo...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-011-2089-1

    authors: Vasenwala SM,Beg S,Ansari HA,Haider N,Sharma R

    更新日期:2012-04-01 00:00:00

  • Lipid and protein oxidation and antioxidant function in women with mild and severe preeclampsia.

    abstract:OBJECT:The aim of this study was to evaluate the lipid and protein oxidation and antioxidant function in preeclampsia patients and in normotensive pregnant women, as well as, to assess an association with the severity of the disease. METHOD:The study was carried out in 30 patients with mild preeclampsia, 30 with sever...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-002-0302-y

    authors: Serdar Z,Gür E,Colakoethullarý M,Develioethlu O,Sarandöl E

    更新日期:2003-04-01 00:00:00

  • Prolactin and cortisol levels during spontaneous and oxytocin induced labour and the effect of meperidine.

    abstract::The effect of stress during labour on the plasma concentration of prolactin and cortisol was studied in 30 healthy multiparous women. The plasma concentrations of prolactin and cortisol were measured by radioimmunoassay during oxytocin induced labour, spontaneous labour, delivery and postpartum 24 h. The parturients w...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/BF01560086

    authors: Onur E,Erçal T,Karslioğlu I

    更新日期:1989-01-01 00:00:00

  • A short narrative review of the feasibility of adopting mild ovarian stimulation for IVF as the current standard of care.

    abstract:INTRODUCTION:Mild ovarian stimulation has been conceived, proposed and implemented in clinical practice as a safer and cheaper alternative to conventional strategies of controlled ovarian hyperstimulation in preparation for in vitro fertilization (IVF). Our aim was to summarize the key evidence on this topic and explor...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00404-012-2347-x

    authors: Siristatidis C,Trivella M,Chrelias C,Sioulas VD,Vrachnis N,Kassanos D

    更新日期:2012-08-01 00:00:00

  • A report on 158 cases of transcervical chorionic villus sampling.

    abstract::Between 1989 and 1994 first trimester transcervical chorionic villus sampling was offered to 158 patients after proper counselling. The gestational age range was 9-12 weeks. The most important indication was advanced maternal age (75.4%). Adequate sampling after two, and a maximum of three attempts, was achieved in 98...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF02505315

    authors: Salihu HM,Boos R,Schmidt W

    更新日期:1997-01-01 00:00:00

  • Human papillomavirus DNA, HPV L1 capsid protein and p16INK4a protein as markers to predict cervical lesion progression.

    abstract:OBJECTIVES:Cervical cancer is the most common malignant tumors in women leading to serious morbidity and mortality worldwide, especially among developing countries. A main cause of the disease is the high-risk human papillomavirus (HR-HPV) infection. HSIL usually progress to cervical cancer, and low-grade lesions, incl...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-018-4931-1

    authors: Hu H,Zhao J,Yu W,Zhao J,Wang Z,Jin L,Yu Y,Han L,Wang L,Zhu H,Li F

    更新日期:2019-01-01 00:00:00

  • A study on antioxidant and apoptotic effect of Azadirachta Indica (neem) in cases of cervical cancer.

    abstract:PURPOSE:To study the anti-oxidant properties of neem (Azadirachta indica) in inducing apoptosis of cervical cancer cells and estimation of caspase activity and TNF-α and IFN-γ levels in monocytes of cervical cancer patients and controls. METHODS:Monocytes were cultured from blood samples of 65 study cases and 30 contr...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-012-2428-x

    authors: Vasenwala SM,Seth R,Haider N,Islam N,Khan T,Maheshwari V,Ur Rehman S

    更新日期:2012-11-01 00:00:00

  • Labor analgesia for the parturient with herbal medicines use: what does an obstetrician need to know?

    abstract::The use of herbal medicines in the developed world is widespread, and increasing. Herbal medicines, which include a wide spectrum of substances ranging from home-made teas to the national regulatory bodies-approved medicinal substances, are defined as plant-derived products that are used for medicinal and/or nutrition...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00404-006-0136-0

    authors: Kuczkowski KM

    更新日期:2006-07-01 00:00:00

  • Zollinger Ellison syndrome, treated with lansoprazole, during pregnancy.

    abstract:BACKGROUND:Zollinger Ellison syndrome (ZES), an ulcerative disease of the upper gastrointestinal tract that involves the production of high levels of gastrin and gastric acid, is a rare, symptomatic, endocrine neoplastic disease. CASE:We report a rare case of gastrinoma that was first diagnosed during pregnancy in whi...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-007-0319-3

    authors: Mayer A,Sheiner E,Holcberg G

    更新日期:2007-08-01 00:00:00

  • Changes in birth-related pain perception impact of neurobiological and psycho-social factors.

    abstract:PURPOSE:To analyse post-partum short- and long-term pain sensitivity and the influence of endogenous pain inhibition as well as distinct psycho-social factors on birth-related pain. METHODS:Pain sensitivity was assessed in 91 primiparous women at three times: 2-6 weeks before, one to 3 days as well as ten to 14 weeks ...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-017-4605-4

    authors: Berlit S,Lis S,Häfner K,Kleindienst N,Baumgärtner U,Treede RD,Sütterlin M,Schmahl C

    更新日期:2018-03-01 00:00:00

  • Influence of reactive oxygen species on human sperm functions and fertilizing capacity including therapeutical approaches.

    abstract:BACKGROUND:Reactive oxygen species (ROS) are an array of molecules including oxygen-centered radicals, which are endowed with one or more unpaired electrons and non-radical oxygen derivatives such as hydrogen peroxide, which behave, to a large extent, like a double-edged sword in human sperm biology. This study aimed t...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00404-013-2801-4

    authors: Chen SJ,Allam JP,Duan YG,Haidl G

    更新日期:2013-07-01 00:00:00

  • Baseline characteristics and prevalence of HPV 6, 11, 16, 18 in young German women participating in phase III clinical trials of a quadrivalent HPV (6/11/16/18) vaccine.

    abstract:INTRODUCTION:As limited data among German women exist about HPV, Chlamydia trachomatis (CT) and Neisseria gonorrhoeae, we report the prevalence of these genital infections and general baseline demographics of the young German women enrolled in the phase III trials of the quadrivalent HPV vaccine. MATERIALS AND METHODS...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章

    doi:10.1007/s00404-008-0806-1

    authors: Barthell E,Woelber L,Hellner K,Camerer B,Gieseking F,Hauschild M,Mylonas I,Friese K,Sings HL,Railkar R,Gause C,Barr E

    更新日期:2009-06-01 00:00:00