Efficacy of Random-start Controlled Ovarian Stimulation in Cancer Patients
This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation (COS) in cancer patients for emergency fertility preservation. In this retrospective comparative study, 22 patients diagnosed with cancer and 44 infertile women undergoing conventional in vitro fertilization (IV...
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| Published in | Journal of Korean medical science Vol. 30; no. 3; pp. 290 - 295 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Academy of Medical Sciences
01.03.2015
대한의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1011-8934 1598-6357 |
| DOI | 10.3346/jkms.2015.30.3.290 |
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| Abstract | This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation (COS) in cancer patients for emergency fertility preservation. In this retrospective comparative study, 22 patients diagnosed with cancer and 44 infertile women undergoing conventional in vitro fertilization (IVF) were included. In cancer patients, ovarian stimulation was started on the day of referral, irrespective of their menstrual cycle date. The control group was selected by age matching among women undergoing conventional IVF. COS outcomes were compared between groups. The number of total and mature oocytes retrieved and the oocyte maturity rate were higher in the random-start group than in the conventional-start group. However, duration of ovarian stimulation was longer in the random-start group (11.4 vs. 10.3 days, P = 0.004). The addition of letrozole to lower the estradiol level during COS did not adversely affect total oocytes retrieved. However, oocyte maturity rate was lower in cycles with letrozole than in cycles without letrozole (71.6% vs. 58.2%, P = 0.019). Our study confirms the feasibility and effectiveness of random-start COS in cancer patients. |
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| AbstractList | This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation (COS) in cancer patients for emergency fertility preservation. In this retrospective comparative study, 22 patients diagnosed with cancer and 44 infertile women undergoing conventional in vitro fertilization (IVF) were included. In cancer patients, ovarian stimulation was started on the day of referral, irrespective of their menstrual cycle date. The control group was selected by age matching among women undergoing conventional IVF. COS outcomes were compared between groups. The number of total and mature oocytes retrieved and the oocyte maturity rate were higher in the random-start group than in the conventional-start group. However, duration of ovarian stimulation was longer in the random-start group (11.4 vs. 10.3 days, P = 0.004). The addition of letrozole to lower the estradiol level during COS did not adversely affect total oocytes retrieved. However, oocyte maturity rate was lower in cycles with letrozole than in cycles without letrozole (71.6% vs. 58.2%, P = 0.019). Our study confirms the feasibility and effectiveness of random-start COS in cancer patients. This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation(COS) in cancer patients for emergency fertility preservation. In this retrospectivecomparative study, 22 patients diagnosed with cancer and 44 infertile women undergoingconventional in vitro fertilization (IVF) were included. In cancer patients, ovarianstimulation was started on the day of referral, irrespective of their menstrual cycle date. The control group was selected by age matching among women undergoing conventionalIVF. COS outcomes were compared between groups. The number of total and matureoocytes retrieved and the oocyte maturity rate were higher in the random-start group thanin the conventional-start group. However, duration of ovarian stimulation was longer inthe random-start group (11.4 vs. 10.3 days, P = 0.004). The addition of letrozole to lowerthe estradiol level during COS did not adversely affect total oocytes retrieved. However,oocyte maturity rate was lower in cycles with letrozole than in cycles without letrozole(71.6% vs. 58.2%, P = 0.019). Our study confirms the feasibility and effectiveness ofrandom-start COS in cancer patients. KCI Citation Count: 4 This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation (COS) in cancer patients for emergency fertility preservation. In this retrospective comparative study, 22 patients diagnosed with cancer and 44 infertile women undergoing conventional in vitro fertilization (IVF) were included. In cancer patients, ovarian stimulation was started on the day of referral, irrespective of their menstrual cycle date. The control group was selected by age matching among women undergoing conventional IVF. COS outcomes were compared between groups. The number of total and mature oocytes retrieved and the oocyte maturity rate were higher in the random-start group than in the conventional-start group. However, duration of ovarian stimulation was longer in the random-start group (11.4 vs. 10.3 days, P = 0.004). The addition of letrozole to lower the estradiol level during COS did not adversely affect total oocytes retrieved. However, oocyte maturity rate was lower in cycles with letrozole than in cycles without letrozole (71.6% vs. 58.2%, P = 0.019). Our study confirms the feasibility and effectiveness of random-start COS in cancer patients. |
| Author | Jee, Byung Chul Kim, Seul Ki Suh, Chang Suk Kim, Seok Hyun Lee, Hee Jun Kim, Jee Hyun Lee, Jung Ryeol |
| AuthorAffiliation | 2 Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea 1 Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea |
| AuthorAffiliation_xml | – name: 2 Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea – name: 1 Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea |
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| Cites_doi | 10.1093/humupd/dmr008 10.1016/j.fertnstert.2013.07.1992 10.1016/j.fertnstert.2013.09.007 10.1016/j.fertnstert.2008.08.011 10.1210/jcem-56-5-1022 10.1016/S0015-0282(16)46509-X 10.1016/S0015-0282(03)00544-2 10.1016/j.fertnstert.2013.03.029 10.1093/humupd/dmr039 10.1016/j.fertnstert.2011.01.030 10.1210/jc.2006-0962 10.1016/S0015-0282(16)53821-7 10.1016/j.rbmo.2010.11.015 10.1095/biolreprod.103.017772 10.1016/S1472-6483(10)60239-8 10.1177/1933719110366483 10.1200/JCO.2007.14.8700 10.1007/s10815-010-9429-0 10.1016/j.fertnstert.2011.04.079 10.1016/j.fertnstert.2010.06.064 |
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| Keywords | Emergency Cancer Controlled Ovarian Stimulation Fertility Preservation In Vitro Fertilization Outcomes Random-start |
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| Snippet | This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation (COS) in cancer patients for emergency fertility preservation. In this... This study aimed to evaluate the efficacy of random-start controlled ovarian stimulation(COS) in cancer patients for emergency fertility preservation. In this... |
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| SubjectTerms | Cryopreservation Estradiol - blood Female Fertility Preservation - methods Fertilization in Vitro Humans Infertility, Female - surgery Neoplasms Nitriles - therapeutic use Oocyte Retrieval - methods Original Ovulation Induction - methods Retrospective Studies Triazoles - therapeutic use 의학일반 |
| Title | Efficacy of Random-start Controlled Ovarian Stimulation in Cancer Patients |
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