Article ; Online: Reassessing the impact of letrozole co-administration in controlled ovarian hyperstimulation: findings from a single-center repeated measures study.
Journal of assisted reproduction and genetics
2024 Volume 41, Issue 4, Page(s) 979–987
Abstract: Purpose: To explore whether letrozole improved outcomes in subsequent controlled ovarian hyperstimulation (COH) cycles.: Methods: This was a retrospective repeated measures cohort study examining COH cycles. Patients were included if they underwent ... ...
Abstract | Purpose: To explore whether letrozole improved outcomes in subsequent controlled ovarian hyperstimulation (COH) cycles. Methods: This was a retrospective repeated measures cohort study examining COH cycles. Patients were included if they underwent two cycles for unexplained infertility, male factor infertility, or planned oocyte/embryo cryopreservation. The first cycles for all patients implemented a non-letrozole, conventional gonadotropin protocol. Second cycles for the study group included letrozole (2.5-7.5 mg for 5 days) with no medication change to second cycles amongst controls. Our primary objective was to compare oocyte yield. Cohorts were then subdivided by pursuit of oocyte (OC) or embryo (IVF) cryopreservation. Secondary outcome amongst the OC subgroup was oocyte maturation index (metaphase II (MII)/total oocytes). Secondary outcomes amongst the IVF subgroup were normal fertilization rate (2-pronuclear zygotes (2PN)/oocytes exposed to sperm), blastocyst formation rate (blastocysts/2PNs), and embryo ploidy (%euploid and aneuploid). Results: Fifty-four cycles (n = 27) were included in letrozole and 108 cycles (n = 54) were included in control. Oocyte yield was higher in second cycles (p < 0.008) in the letrozole group but similar in second cycles (p = 0.26) amongst controls. Addition of letrozole did not impact MII index (p = 0.90); however, MII index improved in second cycles amongst controls (p < 0.001). Both groups had similar rates of normal fertilization (letrozole: p = 0.52; control: p = 0.61), blast formation (letrozole: p = 0.61; control: p = 0.84), euploid (letrozole: p = 0.29; control: p = 0.47), and aneuploid embryos (letrozole: p = 0.17; control: p = 0.78) between cycles. Conclusions: Despite improved oocyte yield, letrozole did not yield any difference in oocyte maturation or embryo outcomes. |
---|---|
MeSH term(s) | Humans ; Letrozole/administration & dosage ; Letrozole/therapeutic use ; Ovulation Induction/methods ; Female ; Adult ; Cryopreservation/methods ; Oocytes/drug effects ; Oocytes/growth & development ; Fertilization in Vitro/methods ; Pregnancy ; Pregnancy Rate ; Male ; Retrospective Studies ; Embryo Transfer/methods ; Blastocyst/drug effects ; Oocyte Retrieval/methods |
Chemical Substances | Letrozole (7LKK855W8I) |
Language | English |
Publishing date | 2024-02-21 |
Publishing country | Netherlands |
Document type | Journal Article |
ZDB-ID | 1112577-9 |
ISSN | 1573-7330 ; 1058-0468 |
ISSN (online) | 1573-7330 |
ISSN | 1058-0468 |
DOI | 10.1007/s10815-024-03067-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 1985: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.