HORMONAL AND HISTOLOGICAL-EVALUATION OF THE LUTEAL PHASE AFTER COMBINED GNRH-AGONIST GONADOTROPIN TREATMENT FOR SUPEROVULATION AND LUTEAL PHASE SUPPORT IN INVITRO FERTILIZATION

被引:16
作者
BALASCH, J
JOVE, I
MARQUEZ, M
VANRELL, JA
机构
[1] Department of Obstetrics and Gynaecology, Faculty of Medicine, Hospital Clinic i Provincial, 08036-Barcelona
关键词
IVF; GNRH-A; GONADOTROPINS; LUTEAL SUPPORT; LUTEAL PHASE DEFECTS;
D O I
10.1093/oxfordjournals.humrep.a137458
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A hormonal and histological study of the luteal phase was performed in 21 stimulated in-vitro fertilization (IVF) patients not undergoing embryo transfer. Ovarian stimulation was carried out with gonadotrophins [follicle stimulating hormone (FSH) + human menopausal gonadotrophin (HMG)] under pituitary suppression with buserelin. Ovulation was induced with 5000 IU human chorionic gonadotrophin (HCG) and additional doses of 5000, 2500 and 2500 IU were given on the day of follicular aspiration, and 2 and 5 days later respectively, to support the luteal phase. Supraphysiological levels of oestradiol (E2) and progesterone in plasma were found in the midluteal phase of all women, while prolactin was in the normal range. An endometrial biopsy taken in the late luteal phase was normal in 90.5% (19/21) of patients, most of them (15/19, 79%) having E2 > 1500 pg/ml on the day of HCG. Conversely, both patients with defective endometrial biopsies had E2 levels < 1500 ng/ml.
引用
收藏
页码:914 / 917
页数:4
相关论文
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