Agonist Gonadotropin-Releasing Hormone (GnRH) Versus Antagonist GnRH
Study Details
Study Description
Brief Summary
Literature suggests that GnRH antagonists are comparatively more often used in cycles which have an unfavorable prior prognosis, and this protocol is an ideal one for poor responder patients. Up to now, however not enough prospectives have been published to prove any beneficial effect of antagonists on the first cycle assisted reproductive technique.
This prospective study will do to evaluate the efficacy of gonadotropin releasing hormone antagonist in comparison with the standard long protocol in the first cycle of ART.
The investigators will randomize 160 patients undergoing ART for the first time . Group 1 (n=80) was stimulate with a standard long protocol and group 2 (n=80) stimulated with GnRH antagonist and then result of ART compare in two group .
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 1 GnRH antagonist "ganirelix" 0.25 mg fromm 6th ovarian stimulation |
Drug: ganirelix
These patients started ovarian stimulation with 150 - 225 IU Gonal F on the second day of menstrual cycle with an S.C. injection once a day. Initiation of 0.25 mg Ganirelix took place on the 6th of the stimulation (fixed protocol) when HMG (Menogon, ferring, pharmacenticals , Germany ).
|
Active Comparator: 2 GnRH agonist, suprefact, stimulation with a standard long protocol |
Drug: suprefact
GnRH agonist, standard protocol
|
Outcome Measures
Primary Outcome Measures
- pregnancy rate [2weeks]
Secondary Outcome Measures
- ovarian stimulation [10days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
first cycle of ART
-
age < 35 years
-
basal FSH < 10 IU/L
Exclusion Criteria:
-
previous IVF or ICSI, hyperprolactinemia, hyperthyroidism, hypothyroidism, uterine abnormality, severe endometriosis
-
only one ovary
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Yazd Research and Clinical Center For Infertility | Yazd | Iran, Islamic Republic of |
Sponsors and Collaborators
- Yazd Research & Clinical Center for Infertility
Investigators
- Study Chair: razieh firouzabadi, MD, Yazd Research & Clinical Center for Infertility
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1387YAZDRCCI