Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase
Scheduling in vitro fertilization cycles enables planning oocyte retrieval and embryology procedures in order to suit both patients’ and medical staff’s needs. Current methods to schedule ovarian stimulation cycles are either cumbersome, costly or provide minor flexibility. The aim of this study was...
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| Format: | Article |
| Language: | English |
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IMR Press
2021-04-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2225 |
| _version_ | 1811247789054623744 |
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| author | Engin Turkgeldi Sule Yildiz Berk Angun Bulent Urman Baris Ata |
| author_facet | Engin Turkgeldi Sule Yildiz Berk Angun Bulent Urman Baris Ata |
| author_sort | Engin Turkgeldi |
| collection | DOAJ |
| description | Scheduling in vitro fertilization cycles enables planning oocyte retrieval and embryology procedures in order to suit both patients’ and medical staff’s needs. Current methods to schedule ovarian stimulation cycles are either cumbersome, costly or provide minor flexibility. The aim of this study was to investigate if scheduling gonadotropin releasing hormone (GnRH) antagonist cycles with a short course of estradiol in the early follicular phase affects oocyte yield. Fifty-nine oocyte donors undergoing two GnRH antagonist stimulation cycles within 6 months, one with and one without follicular phase estradiol scheduling (FES), serving as their own control were included in this retrospective cohort study. FES was achieved by giving 6 mg/day estradiol valerate orally from the 2nd–3rd day of menstrual cycle until the desired day of gonadotropin start. Main outcome measures were number of cumulus oocyte complexes and metaphase two oocytes. A total of 118 cycles, 59 FES and 59 unscheduled GnRH antagonist, were included. Median duration of estradiol administration was 3 days in FES cycles. In the FES group, stimulation lasted significantly longer by one day (11 vs 10 days, P = 0.03) and total gonadotropin consumption (2497 vs 2404 IU, P = 0.03) was statistically significantly higher, albeit minimal absolute difference, which is probably short of clinical significance. Numbers of COC (21 vs 20) and metaphase-two oocytes (17 vs 17) were similar between the two groups. In conclusion, FES does not require planning in advance and involves shorter use of estradiol/oral contraceptive tablets and can be advantageous to scheduling with luteal estradiol/oral contraceptive administration. |
| first_indexed | 2024-04-12T15:15:38Z |
| format | Article |
| id | doaj.art-cfa6a388e1c240a69b1ae80dbc367656 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-04-12T15:15:38Z |
| publishDate | 2021-04-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-cfa6a388e1c240a69b1ae80dbc3676562022-12-22T03:27:37ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-04-0148227828210.31083/j.ceog.2021.02.2225S0390-6663(21)00080-4Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phaseEngin Turkgeldi0Sule Yildiz1Berk Angun2Bulent Urman3Baris Ata4Department of Obstetrics and Gynecology, Koc University Hospital, 34010 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Koc University Hospital, 34010 Istanbul, TurkeyDunya IVF Clinic, 9200 Kyrenia, North CyprusDepartment of Obstetrics and Gynecology, Koc University Faculty of Medicine, 34010 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Koc University Hospital, 34010 Istanbul, TurkeyScheduling in vitro fertilization cycles enables planning oocyte retrieval and embryology procedures in order to suit both patients’ and medical staff’s needs. Current methods to schedule ovarian stimulation cycles are either cumbersome, costly or provide minor flexibility. The aim of this study was to investigate if scheduling gonadotropin releasing hormone (GnRH) antagonist cycles with a short course of estradiol in the early follicular phase affects oocyte yield. Fifty-nine oocyte donors undergoing two GnRH antagonist stimulation cycles within 6 months, one with and one without follicular phase estradiol scheduling (FES), serving as their own control were included in this retrospective cohort study. FES was achieved by giving 6 mg/day estradiol valerate orally from the 2nd–3rd day of menstrual cycle until the desired day of gonadotropin start. Main outcome measures were number of cumulus oocyte complexes and metaphase two oocytes. A total of 118 cycles, 59 FES and 59 unscheduled GnRH antagonist, were included. Median duration of estradiol administration was 3 days in FES cycles. In the FES group, stimulation lasted significantly longer by one day (11 vs 10 days, P = 0.03) and total gonadotropin consumption (2497 vs 2404 IU, P = 0.03) was statistically significantly higher, albeit minimal absolute difference, which is probably short of clinical significance. Numbers of COC (21 vs 20) and metaphase-two oocytes (17 vs 17) were similar between the two groups. In conclusion, FES does not require planning in advance and involves shorter use of estradiol/oral contraceptive tablets and can be advantageous to scheduling with luteal estradiol/oral contraceptive administration.https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2225assisted reproductioncycle schedulingestradiolgnrh antagonistin vitro fertilization |
| spellingShingle | Engin Turkgeldi Sule Yildiz Berk Angun Bulent Urman Baris Ata Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase Clinical and Experimental Obstetrics & Gynecology assisted reproduction cycle scheduling estradiol gnrh antagonist in vitro fertilization |
| title | Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase |
| title_full | Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase |
| title_fullStr | Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase |
| title_full_unstemmed | Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase |
| title_short | Oocyte yield of GnRH antagonist cycles scheduled with a short course of estradiol in the early follicular phase |
| title_sort | oocyte yield of gnrh antagonist cycles scheduled with a short course of estradiol in the early follicular phase |
| topic | assisted reproduction cycle scheduling estradiol gnrh antagonist in vitro fertilization |
| url | https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2225 |
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