Title
Effect of GnRH Antagonist vs Agonist Long on IVF Outcome, Peak Estradiol Level,and Duration of Stimulation
Effect of GnRH Antagonist Protocol vs Agonist Long Protocol During Controlled Hyperstimulation (COH)for Assisted Reproduction on IVF Outcome, Peak Estradiol Level, and Duration of Stimulation.
Phase
N/ALead Sponsor
Main Line Fertility CenterStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
FertilityIntervention/Treatment
leuprolide ganirelix urofollitropin cetrorelix ...Study Participants
43The purpose of this study is to determine if utilizing GnRH antagonists versus agonist long protocol during controlled ovarian stimulation (COH) with human-derived gonadotropins for assisted reproduction affects IVF outcome, peak estradiol level, and duration of stimulation.
No detailed description
Bravelle and Menopur are used for controlled ovarian stimulation (COH)
Agonist (Lupron) is used to suppress endogenous pituitary LH for the premature LH surges.
Ganirelix acetate or cetrorelix acetate Agonist is used to suppress endogenous pituitary LH for the premature LH surges.
Patients will use an LH agonist (Lupron) starting on day 18 of the oral contraceptive pill (OCP), 5 units b.i.d. followed by 5 units q.d. beginning on day one of stimulation medications. The 5 units q.d. dose will continue until the day of hCG administration.Patients will administer Bravelle and Menopur for ovarian stimulation.
Patients will complete standard dose of oral contraceptive pill (OCP) and will then administer GnRH antagonist (ganirelix acetate or cetrorelix acetate) 0.25 mg q.d. during the stimulation phase when the lead follicle size reaches 12mm. The antagonist will continue until the day of hCG administration. Patients will administer Bravelle and Menopur for ovarian stimulation.
Inclusion Criteria: Ages 21-40 (inclusive up to 41) Day 2-4 FSH < or equal to 10 Antimullerian Hormone (AMH) greater than or equal to 1.0 Between 5 and 20 antral follicles on day 2-4 Body Mass Index (BMI)>or equal to 18 and < or equal to 32 Exclusion Criteria: Smokers Polycystic Ovarian Disease Endometriosis greater than Stage I Testicular aspirated sperm