The effect of GnRH Agonist use in Frozen Cycles on pregnancy results

The effect of GnRH Agonist use in Frozen Cycles on pregnancy results

Aim: The aim of this study was to investigate the effect of GnRH agonist use on pregnancy and abortion in the preparation of theendometrium in autologous frozen embryo transfers performed with hormone replacement therapy.Material and Methods: All autologous artificial Frozen – thawed embryo transfer (FET) between 1/2016 and 1/2018 were evaluatedretrospectively in order to investigate the effect of GnRH agonist use on pregnancy and abortion rates in frozen embryo FET cycles.Results: 226 patients were included in the study. The mean age of the patients included in the study was 30.76 ± 4.72 years. Of thepatients, 144 (63.7%) were diagnosed with unexplained infertility, 20 (8.8) with low ovarian reserve, and 62 (27.4) with male factor.No significant difference was found in terms of pregnancy result and abortion in patients using (N: 22) and not using GnRH agonist(p = 0.212, 1,000).Conclusion: No significant effect of GnRH agonist use on pregnancy rate or abortion was detected in autologous frozen embryotransfers performed with HRT. The prospective studies involving larger patient populations are needed to clarify this subject.

___

  • 1. Muasher SJ, Kruithoff C, Simonetti S, et al. Controlled preparation of the endometrium with exogenous steroids for the transfer of frozen-thawed preembryos in patients with anovulatory or irregular cycles. Hum Reprod 1991;6:443-5.
  • 2. Schmidt CL, de Ziegler D, Gagliardi CL, et al. Transfer of cryopreserved-thawed embryos: the natural cycle versus controlled preparation of the endometrium with gonadotropin-releasing hormone agonist and exogenous estradiol and progesterone (GEEP). Fertil Steril 1989;52:609-16.
  • 3. Lelaidier C, de Ziegler D, Gaetano J, Hazout A, Fernandez H, Frydman R. Controlled preparation of the endometrium with exogenous oestradiol and progesterone: a novel regimen not using a gonadotrophinreleasing hormone agonist. Hum Reprod 1992;7:1353-6.
  • 4. Queenan JT Jr, Ramey JW, Seltman HJ, et al. Transfer of cryopreserved-thawed pre-embryos in a cycle using exogenous steroids without prior gonadotrophinreleasing hormone agonist suppression yields favourable pregnancy results. Hum Reprod 1997;12:1176-80.
  • 5. Luca Dal Prato, M.D, Andrea Borini, Met al. Endometrial preparation for frozen-thawed embryo transfer with or without pretreatment with gonadotropin-releasing hormone agonist. Fertility and Sterility. 2002;77:5.
  • 6. Simon A, Hurwitz A, Zentner BS, et al. Transfer of frozenthawed embryos in artificially prepared cycles with and without prior gonadotrophin-releasing hormone agonist suppression: a prospective randomized study. Hum Reprod 1998;13:2712-7.
  • 7. S. A. Hebisha, H. M. Adel. GnRH Agonist Treatment Improves Implantation and Pregnancym Rates of Frozen–Thawed Embryos Transfer. The Journal of Obstetrics and Gynecology of India 2017;67:133-6.
  • 8. Cohen J, DeVane GW, Elsner CW, et al. Cryopreserved zygotes and embryos and endocrinologic factors in the replacement cycle. Fertil Steril 1988;50:61-7.
  • 9. Glujovsky D, Pesce R, Fiszbajn G, et al.Endometrial preparation for women undergoing embryo transfer with frozen embryos or embryos derived from donor oocytes. Cochrane Database Syst Rev 2010;20: CD006359.
  • 10. Hill MJ, Miller KA, Frattarelli JL. A GnRH agonist and exogenous hormone stimulation protocol has a higher live-birth rate than a natural endogenous hormone protocol for frozen-thawed blastocyst-stage embryo transfer cycles: an analysis of 1391 cycles. Fertil Steril 2010;93:416-22.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

The relationship between balance, trunk muscular endurance, and functional level in individuals with chronic low back pain

Esra Dilek KESKİN, Meral SERTEL, Ayşe ABİT KOCAMAN, Sabiha BEZGİN, Saniye AYDOĞAN, Özge VERGİLİ, Muhammet Ayhan ORAL, Tezel YILDIRIM SAHAN, Cevher SAVCUN DEMİRCİ, Kübra UĞURLU, Birol ÖNAL

The effects of rifampicin on wound healing

Burcu KEMAL OKATAN, Sami KARAPOLAT, Alaaddin BURAN, Banu KARAPOLAT

Increase in C-peptide levels after resolution of hyperglycemia in patients with type 2 diabetes mellitus: Myths or facts?

Bahri EVREN, İbrahim ŞAHİN, Ömercan TOPALOĞLU, Saim YOLOĞLU, Şelale ŞAHİN

Short-segment pedicle screw-based semi-rigid stabilization with poly (etheretherketone) rods for treatment of degenerative lumbar scoliosis in elderly patients

Göktuğ AKYOLDAŞ

Severe head trauma in children: Analysis of 68 cases in light of current guidelines

Numan KARAARSLAN, Mehmet Sabri GÜRBÜZ, Muhterem DUYU, Ahmet Ferruh GEZEN, Pınar CANIZCI ERDEMLİ, Ercan BOŞNAK, Çimen ELİAS, Hasan GÜÇLÜ

Predictors of postoperative prolonged mechanical ventilation after left ventricular assist device surgery

Helin ŞAHİNTÜRK, Funda ATAR, Aycan ÖZDEMİRKAN, Atilla SEZGİN, Pınar ZEYNELOĞLU, Arash PİRAT

An interactive web application for propensity score matching with R shiny; example of thrombophilia

Emre DEMİR, Engin YILDIRIM, Serdal Kenan KÖSE, Ömer Faruk AKMEŞE

Diabetic retinopathy knowledge and management approaches of primary care physicians

Seyfettin ERDEM

Survivin and Ki-67 expression in leiomyomas, leiomyoma variants, leiomyosarcoma, and STUMP : An immunohistochemical and clinical follow-up study

Ayşe Filiz GÖKMEN KARASU, Fatma Cavide SÖNMEZ, Cihan COMBA, Hasan TURAN, Seval TURNA, Dilek Sema ARICI, Şennur İLVAN

Effects of polypropylene mesh on the component separation technique in complex incisional hernia surgery

Tahsin ÇOLAK, Tolga ÖLMEZ