Skip to main content Accessibility help
×
Hostname: page-component-7c8c6479df-27gpq Total loading time: 0 Render date: 2024-03-28T15:00:55.442Z Has data issue: false hasContentIssue false

Chapter 13 - What superovulation protocol is best?

from Section 3 - Stimulation

Published online by Cambridge University Press:  05 July 2011

Gab Kovacs
Affiliation:
Monash University, Victoria
Get access

Summary

This chapter outlines the physiology of superovulation, and deals with how these stimulation protocols have evolved over the past 25 years, to allow the clinician to make evidence-based judgements on which protocol to use in individual patient groups. All in vitro fertilization (IVF) stimulation protocols attempt to widen the follicle stimulating hormone (FSH) window allowing more of the cohort of antral follicles to overcome their FSH threshold, a process known as recruitment, then continue to support their development through to maturity. Exogenous FSH can be sourced from urinary and recombinant preparations. Both sources provide highly purified gonadotropins. Although most of the comparative studies looking at the differing gonadotropin preparations have employed gonadotropin-releasing hormone (GnRH) agonist protocols, more recently GnRH antagonist studies have shown similar outcomes. Therefore it is reasonable to conclude that in most clinical scenarios clinician and patient choice should determine which preparation is employed.
Type
Chapter
Information
How to Improve your ART Success Rates
An Evidence-Based Review of Adjuncts to IVF
, pp. 67 - 74
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×