Journal of International Reproductive Health/Family Planning ›› 2015, Vol. 34 ›› Issue (3): 199-202.

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Different Ovarian Stimulation Protocols in 164 Patients with Poor Ovarian Response

LYU Cui-ting,GUO Li-na,ZHEN Xiu-li,ZHANG Na,LIU Fu-quan   

  1. Department of Reproductive Medicine, The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-15 Online:2015-05-15
  • Contact: LYU Cui-ting

Abstract: Objective: To analyse the clinical characteristics of those patients with poor ovarian response(POR) diagnosed according to the Bologna Criteria in IVF-ET, and compare the clinical outcomes of different ovarian stimulation protocols, so as to evaluate therapeutic schedules for POR patients. Methods:The clinical data of 186 cycles in 164 patients undergone IVF-ET in our center from December 2010 to October 2012 were retrospectively analyzed. Those cycles were divided into 3 groups according to ovarian stimulation protocols: the long GnRHa protocol group(186 cycles), the short GnRHa protocol group (41 cycles) and the mini-stimulation protocol group(59 cycles). The clinical characteristics and outcomes were compared among three groups. Results:In 164 patients, 112 patients(68.3%) were aged <40, 21 cases (12.8%) suffered from endometriosis and 5 cases (3%) pelvic tuberculosis, while 28 cases (17.1%) had the pelvic operation history. The days and the amounts of Gn in the mini-stimulation protocol group were significantly less than those in other two groups (P<0.05). The mean number of collected oocytes in the mini-stimulation protocol group was significantly lower than that in the long GnRHa protocol group, and the rate of frozen embryos was significantly higher(both P<0.05); but there were not significant differences between the mini-stimulation protocol group and the short GnRHa protocol group(both P>0.05). Conclusions:The mini-stimulation protocol is an preferable option for POR patients.

Key words: Ovary, Periodicity, Ovulation induction, Embryo transfer, Fertilization in vitro