Poor Ovarian Response Clinical Trial
Official title:
Novel Therapy for Poor Responders Management
Unfortunately for some infertile women, gonadotrophin administration results in a desultory
ovarian response. While this is commonly due to diminished ovarian reserve, as indicated by
advanced age and/or elevated basal day 3 FSH concentrations, a subset of these patients are
<41 years old and have normal FSH concentrations.
To overcome this problem several strategies have been reported, with limited success.
With approval of the Board, 100 women with a history of previous poor response to vigorous
gonadotrophin stimulation. All with AFC ≤3, AMH;≤0.5 and they give only ≤3 oocytes in their
previous cycles will be included in this study using this new protocol: clomiphene citrate
150 for 7 days starting on DAY2, associated with HMG 300 IU & Groth hormone 8 units in
alternating days (i.e.; HMG on D2,4,6,8 while GH on D3,5,7,9) then folliculomonitoring will
be started on D9, then Antagonist may be added till triggering then will see the response
compared to their own ovarian response before
Unfortunately for some infertile women, gonadotrophin administration results in a desultory
ovarian response. While this is commonly due to diminished ovarian reserve, as indicated by
advanced age and/or elevated basal day 3 FSH concentrations, a subset of these patients are
<41 years old and have normal FSH concentrations.
To overcome this problem several strategies have been reported, with limited success.
With approval of our Board, 100 women with a history of previous poor response to vigorous
gonadotrophin stimulation. All with AFC ≤3, AMH;≤0.5 and they give only ≤3 oocytes in their
previous cycles will be included in this study using this new protocol: clomiphene citrate
150 for 7 days starting on DAY2, associated with HMG 300 IU & Groth hormone 8 units in
alternating days (i.e.; HMG on D2,4,6,8 while GH on D3,5,7,9) then folliculomonitoring will
be started on D9, then Antagonist may be added till triggering then will see the response
compared to their own ovarian response before in their previous trials
;
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