Ovulation Induction Clinical Trial
Official title:
The Application of a New Ovarian Stimulation Protocol in IVF: a Randomized Controlled Study
Pituitary down regulation is widely used during in vitro fertilization (IVF) procedures. It
can suppress the spontaneous luteinizing hormone (LH) surge, and can also make follicles
growth evenly.
At present, standard gonadotropin releasing hormone analogue (GnRH-a) long protocol is used
in around 85% patients in the investigator's center. However, patients have to inject short
term GnRH-a 0.05mg or 0.1mg daily for around 3 weeks in one IVF cycle.
Long term GnRH-a, which is usually used in patients with endometriosis,has been shown to
increase IVF outcome by altering endometrial receptivity. Moreover, it is also very
convenient because patients do not have to inject GnRH-a daily. In order to make patients
feel more comfortable during IVF treatment, the investigators have used a new ovarian
stimulation protocol since the beginning of 2015. The investigators give patients long term
GnRH-a (3.75mg) once at menstrual cycle D2, and begin the use of Gn to stimulate follicle
growth around 30 days later based on the hormone levels and follicle size. In the pilot
observational study of several patients, no LH surge occurred during ovarian stimulation.
The aim of this randomized controlled study is to compare the efficiency of this new protocol
and standard GnRH-a long protocol in the investigator's center.
The primary outcome is ongoing pregnancy rate. Other parameters include number of oocytes retrieved, 2 pronucleus (2PN) fertilization rate, high quality embryo formation rate, implantation rate, spontaneous abortion rate, and ectopic pregnancy rate. ;
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