Journal of International Reproductive Health/Family Planning ›› 2018, Vol. 37 ›› Issue (6): 454-457.

Previous Articles     Next Articles

Improving the Prediction of Ovarian Response to Ovulation Induction in Patients with Normal Ovarian Function: A Diagnostic Trial

HE Yi-lei,YANG Shuo,XU Hui-yu,LI Rong,QIAO Jie   

  1. Department of Obstetrics and Gynecology,Peking University Third Hospital,Beijing 100191,China
  • Received:2018-05-17 Revised:2018-09-24 Published:2018-11-15 Online:2018-11-15
  • Contact: LI Rong,E-mail:roseli001@sina.com E-mail:roseli@163.com

Abstract: Objective:To investigate the high-accuracy predictive factors of ovarian response to ovulation induction. Methods:The basic information, medication and outcome of 5 859 IVF/ICSI cycles were respectively analyzed in our center from June 2014 to December 2016. The Logistic regression model was developed to predict the ovarian response. There were a total of 517 cycles in the low-response group, 1 281 cycles in the high-response group and 4 061 cycles in the normal-response group. The clinical data of 1 143 cycles in 2017 were used to test the diagnostic value of those factors. Results:The differences in the age, AFC, basal hormone levels, medication and clinical outcomes were significant among the three groups (P<0.001). The level of serum AMH was the important predictor of ovarian response, with the cut-off values of 2.76 ng/mL for high ovarian response and 1.50 ng/mL for low ovarian response. AMH if combining with age could predict high ovarian response, while AMH combining with AFC also predict low ovarian response. Conclusions:The level of serum AMH was a good predictor of ovarian response before Gn initiation. AMH if combining with AFC and age was of great significance in obtaining an appropriate number of oocytes, ensuring a good pregnancy outcome and preventing ovarian hyperstimulation syndrome.

Key words: Ovulation induction, Fertilization in vitro, Sperm injections, intracytoplasmic, Anti-Mullerian hormone, Ovarian response