FOLLICLE-STIMULATING-HORMONE VERSUS HUMAN MENOPAUSAL GONADOTROPIN FOR IN-VITRO FERTILIZATION - RESULTS OF A METAANALYSIS

被引:21
作者
DAYA, S [1 ]
机构
[1] MCMASTER UNIV, DEPT CLIN EPIDEMIOL & BIOSTAT, HAMILTON, ON L8N 3Z5, CANADA
关键词
INFERTILITY; IN VITRO FERTILIZATION; GONADOTROPINS; METAANALYSIS; FSH VS. HMG IN IVF;
D O I
10.1159/000184283
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The observation of adverse effects of high-follicular-phase LH levels on fertilization, cleavage, embryo quality and pregnancy suggests that exogenous LH administration for ovarian stimulation in IVF may also be detrimental. The purpose of this study was to compare the use of FSH with hMG in IVF by conducting a systematic overview and meta-analysis of the evidence in the literature from randomized trials comparing the two gonadotropins. The data were extracted and pooled from eight studies that satisfied the inclusion criteria. The results show that FSH performs significantly better than hMG and is associated with at least 50% higher clinical pregnancy rates.
引用
收藏
页码:224 / 229
页数:6
相关论文
共 37 条
[1]   INSULIN-LIKE GROWTH-FACTORS - THE OVARIAN CONNECTION [J].
ADASHI, EY ;
RESNICK, CE ;
HURWITZ, A ;
RICCIARELLI, E ;
HERNANDEZ, ER ;
ROBERTS, CT ;
LEROITH, D ;
ROSENFELD, R .
HUMAN REPRODUCTION, 1991, 6 (09) :1213-1219
[2]   INSULIN STIMULATES ANDROGEN ACCUMULATION IN INCUBATIONS OF OVARIAN STROMA OBTAINED FROM WOMEN WITH HYPERANDROGENISM [J].
BARBIERI, RL ;
MAKRIS, A ;
RANDALL, RW ;
DANIELS, G ;
KISTNER, RW ;
RYAN, KJ .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1986, 62 (05) :904-910
[3]  
BJERSING L, 1967, ACTA ENDOCR-COP S, V125, P1
[4]  
BRESLOW NE, 1980, STATISTICAL METHODS, V1, P142
[6]   INSULIN-LIKE GROWTH FACTOR-I AND INSULIN POTENTIATE LUTEINIZING HORMONE-INDUCED ANDROGEN SYNTHESIS BY RAT OVARIAN THECAL-INTERSTITIAL CELLS [J].
CARA, JF ;
ROSENFIELD, RL .
ENDOCRINOLOGY, 1988, 123 (02) :733-739
[7]   REEVALUATION OF THE ROLES OF LUTEINIZING-HORMONE AND FOLLICLE-STIMULATING-HORMONE IN THE OVULATORY PROCESS [J].
CHAPPEL, SC ;
HOWLES, C .
HUMAN REPRODUCTION, 1991, 6 (09) :1206-1212
[8]   STIMULATION OF OVARIAN FOLLICULAR MATURATION WITH PURE FOLLICLE-STIMULATING-HORMONE IN WOMEN WITH GONADOTROPIN-DEFICIENCY [J].
COUZINET, B ;
LESTRAT, N ;
BRAILLY, S ;
FOREST, M ;
SCHAISON, G .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1988, 66 (03) :552-556
[9]  
DAYA S, 1994, JUN ANN M EUR SOC HU
[10]   CLINICAL PHARMACOLOGICAL STUDIES ON HUMAN MENOPAUSAL GONADOTROPIN [J].
DICZFALUSY, E ;
HARLIN, J .
HUMAN REPRODUCTION, 1988, 3 (01) :21-27