The science behind 25 years of ovarian stimulation for in vitro fertilization.

Abstract:

:To allow selection of embryos for transfer after in vitro fertilization, ovarian stimulation is usually carried out with exogenous gonadotropins. To compensate for changes induced by stimulation, GnRH analog cotreatment, oral contraceptive pretreatment, late follicular phase human chorionic gonadotropin, and luteal phase progesterone supplementation are usually added. These approaches render ovarian stimulation complex and costly. The stimulation of multiple follicular development disrupts the physiology of follicular development, with consequences for the oocyte, embryo, and endometrium. In recent years, recombinant gonadotropin preparations have become available, and novel stimulation protocols with less detrimental effects have been developed. In this article, the scientific background to current approaches to ovarian stimulation for in vitro fertilization is reviewed. After a brief discussion of the relevant aspect of ovarian physiology, the development, application, and consequences of ovarian stimulation strategies are reviewed in detail.

journal_name

Endocr Rev

journal_title

Endocrine reviews

authors

Macklon NS,Stouffer RL,Giudice LC,Fauser BC

doi

10.1210/er.2005-0015

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

170-207

issue

2

eissn

0163-769X

issn

1945-7189

pii

er.2005-0015

journal_volume

27

pub_type

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