Comparison of the Recombinant Versus Highly-Purified, Urinary Follicle-Stimulating Hormone (r-FSH vs. HP-uFSH) in the Polycystic Ovary Syndrom Patients who had Antagonist Cycle with In Vitro Fertilization- embryo Transfer.

Objectives: Although there are a number of studies on the costs and efficacy of the drugs which are used in in vitro fertilization (IVF), the data obtained in antagonist cycles of polycystic ovary syndrome (PCOS) cases are still controversial. The aim of the study was to evaluate follicular developm...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 775 - 780
Autores principales: Kara, Mustafa, Kutlu, Tayfun, Sofuoglu, Kenan
Formato: research tables/charts Journal Article
Publicado: Turkiye Klinikleri Aug2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2011
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      pub: Turkiye Klinikleri
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        2011333653
        10.5336/medsci.2010-19282
        104636541
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        atl: Comparison of the Recombinant Versus Highly-Purified, Urinary Follicle-Stimulating Hormone (r-FSH vs. HP-uFSH) in the Polycystic Ovary Syndrom Patients who had Antagonist Cycle with In Vitro Fertilization- embryo Transfer.
      aug:
        au:
          Kara, Mustafa
          Kutlu, Tayfun
          Sofuoglu, Kenan
      sug:
        subj:
          Embryo Transfer
          Fertilization in Vitro Methods
          Follicle-Stimulating Hormone Therapeutic Use
          Infertility Drug Therapy
          Polyendocrine Metabolic Ovarian Syndrome Complications
          Body Mass Index
          Chi Square Test
          Cost Benefit Analysis
          Costs and Cost Analysis
          Descriptive Statistics
          Estradiol Blood
          Female
          Gonadotropins, Chorionic Blood
          Human
          One-Way Analysis of Variance
          Retrospective Design
          T-Tests
          Treatment Outcomes
          Female
      ab: Objectives: Although there are a number of studies on the costs and efficacy of the drugs which are used in in vitro fertilization (IVF), the data obtained in antagonist cycles of polycystic ovary syndrome (PCOS) cases are still controversial. The aim of the study was to evaluate follicular development, pregnancy outcome and cost-effectiveness comparing r-FSH and HP-u FSH in antagonist cycles of PCOS cases. Material and Methods: A total of 102 patients were included in the study. Patients were treated using the same stimulation protocol. r-FSH (n= 54) or HP-u FSH (n= 48) were given according to the clinician's choice and the patient's preference. Results: r-FSH treatment required significantly less amount to induce follicular development and resulted in higher plasma levels of estradiol on the day of human chorionic gonadotropin (hCG) injection. Although pregnancy rate in the r FSH group was higher than HP u FSH group (40.7% vs. 33.3%), the difference was not statistically significant. Total FSH dose was significantly lower in r FSH group comparet to HP-uFSH (1396.3 ± 131.6 iu vs.1820.14 ± 174.6 iu). Conclusion: r-FSH is more efficient than HP-u FSH in terms of total FSH dose. The Follicular development and endometrial thickness on the day of hCG were better in the r-FSH group, however these differences were not statistically significant. Although r-FSH is more expensive, the final treatment cost with r-FSH per pregnancy was slightly lower although this difference was not statistically significant.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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