Title
Human Chorionic Gonadotropin (hCG) Priming Prior to Controlled Ovarian Hyperstimulation (COH) in Poor Responder In Vitro Fertilization (IVF) Patients
hCG Priming Prior to COH in Poor Responder IVF Patients
Phase
Phase 4Lead Sponsor
IVI MadridStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Ovarian ResponseIntervention/Treatment
human choriogonadotropin alfa ...Study Participants
60There is a decline in androgen concentration with ovarian aging. Also, ovarian response to COH in IVF cycles diminishes with ovarian aging. Recent evidence suggest that testosterone or DHEA may improve ovarian response in poor prognosis patients by increasing intraovarian androgen concentration. A physiological way to induce androgen synthesis within the ovary is to stimulate theca cells androgen production by hCG stimulation. By doing this in the previous cycle we might expect a better response to COH.
200 IU, sc, every 5 days, 4 doses
diluent, every 5 days, s.c., 4 doses
200 IU rec hCG s.c./5 days, 4 doses prior to onset of COH
similar injection at same time points with similar diluent but no hCG
Inclusion Criteria: previous IVF cycle with 5 or less mature follicles or 5 or less oocyte retrieved Exclusion Criteria: 42 years or older BMI <18 or >30