دورية أكاديمية

Is there a preferred time interval between gonadotropin-releasing hormone (GnRH) agonist trigger and oocyte retrieval in GnRH antagonist cycles? A retrospective cohort of planned fertility preservation cycles.

التفاصيل البيبلوغرافية
العنوان: Is there a preferred time interval between gonadotropin-releasing hormone (GnRH) agonist trigger and oocyte retrieval in GnRH antagonist cycles? A retrospective cohort of planned fertility preservation cycles.
المؤلفون: Ranit H; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel. ranithizk@gmail.com., Shmuel H; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Ein Kerem-Hebrew University Medical Center, Jerusalem, Israel., Ahlad A; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel., Shirley G; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel., Meny H; Faculty of medicine, Hebrew university of Jerusalem, Jerusalem, Israel., Tal I; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Ein Kerem-Hebrew University Medical Center, Jerusalem, Israel.; Faculty of medicine, Department of Obstetrics and Gynecology, Hebrew university of Jerusalem, Jerusalem, Israel., Assaf BM; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Ein Kerem-Hebrew University Medical Center, Jerusalem, Israel.; Faculty of medicine, Department of Obstetrics and Gynecology, Hebrew university of Jerusalem, Jerusalem, Israel., Chana AL; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel., Yaakov B; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel., Efrat EB; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel.; Faculty of medicine, Department of Obstetrics and Gynecology, Hebrew university of Jerusalem, Jerusalem, Israel., Anat HK; The IVF unit, Department of Obstetrics and Gynecology, Hadassah Mount Scopus-Hebrew University Medical Center, Jerusalem, 9112001, Israel.; Faculty of medicine, Department of Obstetrics and Gynecology, Hebrew university of Jerusalem, Jerusalem, Israel.
المصدر: Journal of assisted reproduction and genetics [J Assist Reprod Genet] 2024 Jun; Vol. 41 (6), pp. 1531-1538. Date of Electronic Publication: 2024 Mar 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Netherlands NLM ID: 9206495 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-7330 (Electronic) Linking ISSN: 10580468 NLM ISO Abbreviation: J Assist Reprod Genet Subsets: MEDLINE
أسماء مطبوعة: Publication: <2004- >: Amsterdam : Springer
Original Publication: New York : Plenum Press, c1992-
مواضيع طبية MeSH: Gonadotropin-Releasing Hormone*/agonists , Gonadotropin-Releasing Hormone*/antagonists & inhibitors , Oocyte Retrieval*/methods , Fertility Preservation*/methods , Ovulation Induction*/methods , Oocytes*/drug effects , Oocytes*/growth & development , Cryopreservation*/methods, Humans ; Female ; Adult ; Retrospective Studies ; Pregnancy ; Follicle Stimulating Hormone ; Fertilization in Vitro/methods ; Anti-Mullerian Hormone/blood ; Pregnancy Rate ; Time Factors ; Hormone Antagonists/administration & dosage
مستخلص: Background: The ideal time frame between gonadotropin-releasing hormone (GnRH) agonist (GnRHa) trigger administration and oocyte retrieval in GnRH antagonist cycles has not been well studied. Our goal was to evaluate the effect of this time interval on oocyte yield and oocyte maturation rate in GnRH antagonist cycles designated for non-medical ("planned") oocyte cryopreservation.
Methods: We conducted a retrospective cohort study including patients who underwent elective fertility preservation, using the GnRH antagonist protocol and exclusively triggered by GnRH-agonist. We focused on the effect of the trigger-to-retrieval time interval on oocyte yield and maturation rate, while also incorporating age, body mass index (BMI), anti-Müllerian hormone (AMH) levels, basal Follicle-Stimulating Hormone (FSH) levels, as well as the type and dosage of gonadotropin FSH medication.
Results: 438 cycles were included. Trigger-to-retrieval time interval ranged from 32.03 to 39.92 h. The mean oocyte yield showed no statistically significant difference when comparing retrievals < 36 h (n = 240, 11.86 ± 8.6) to those triggered at ≥ 36 h (n = 198, 12.24 ± 7.73) (P = 0.6). Upon dividing the cohort into four-time quartiles, no significant differences in the number of retrieved oocytes were observed (P = 0.54). Multivariate regression analysis failed to reveal any significant associations between the interval and the aforementioned variables.
Conclusions: The GnRHa trigger to oocyte retrieval interval range in our cohort did not significantly affect oocyte yield and maturation rate.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Egg freezing; Gonadotropin releasing hormone; Hormone antagonist; Oocyte retrieval; Operative time; Ovulation
المشرفين على المادة: 33515-09-2 (Gonadotropin-Releasing Hormone)
9002-68-0 (Follicle Stimulating Hormone)
80497-65-0 (Anti-Mullerian Hormone)
0 (Hormone Antagonists)
تواريخ الأحداث: Date Created: 20240316 Date Completed: 20240704 Latest Revision: 20240729
رمز التحديث: 20240729
مُعرف محوري في PubMed: PMC11224053
DOI: 10.1007/s10815-024-03083-z
PMID: 38492156
قاعدة البيانات: MEDLINE