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In vitro maturation in sub fertile women with polycystic ovarian syndrome undergoing assisted reproduction.

Abstract Polycystic ovarian syndrome (PCOS) occurs in 4% to 7% of all women of reproductive age and 20% of women presenting with sub-fertility. A significant proportion of these women will ultimately need assisted reproductive techniques (ART). In women with PCOS, the supra-physiological doses of gonadotrophins used for controlled ovarian hyperstimulation (COH) often result in an exaggerated ovarian response characterised by the development of a large cohort of follicles of uneven quality, retrieval of immature oocytes, and increased risk of ovarian hyperstimulation syndrome. A potentially useful intervention for women with PCOS-related infertility involves earlier retrieval of immature oocytes followed by in vitro maturation (IVM).
PMID
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In vitro maturation in subfertile women with polycystic ovarian syndrome undergoing assisted reproduction.

Authors

Mayor MeshTerms

Infertility, Female

Keywords
Journal Title the cochrane database of systematic reviews
Publication Year Start




PMID- 19160291
OWN - NLM
STAT- MEDLINE
DA  - 20090122
DCOM- 20090319
LR  - 20141120
IS  - 1469-493X (Electronic)
IS  - 1361-6137 (Linking)
IP  - 1
DP  - 2009
TI  - In vitro maturation in sub fertile women with polycystic ovarian syndrome
      undergoing assisted reproduction.
PG  - CD006606
LID - 10.1002/14651858.CD006606.pub2 [doi]
AB  - BACKGROUND: Polycystic ovarian syndrome (PCOS) occurs in 4% to 7% of all women of
      reproductive age and 20% of women presenting with sub-fertility. A significant
      proportion of these women will ultimately need assisted reproductive techniques
      (ART). In women with PCOS, the supra-physiological doses of gonadotrophins used
      for controlled ovarian hyperstimulation (COH) often result in an exaggerated
      ovarian response characterised by the development of a large cohort of follicles 
      of uneven quality, retrieval of immature oocytes, and increased risk of ovarian
      hyperstimulation syndrome. A potentially useful intervention for women with
      PCOS-related infertility involves earlier retrieval of immature oocytes followed 
      by in vitro maturation (IVM). OBJECTIVES: To compare live birth rates per woman
      following in vitro maturation (IVM) with conventional in vitro fertilisation
      (IVF) or intracytoplasmic sperm injection (ICSI) for women with PCOS undergoing
      ART. SEARCH STRATEGY: We searched the Menstrual Disorders and Subfertility Group 
      Specialised Register of controlled trials for any relevant trials from the title,
      abstract, or keyword sections. Following a search of electronic databases
      (MEDLINE in all languages) using Ovid software we also performed a manual search 
      of the references of all retrieved articles, sought unpublished papers and
      abstracts submitted to international conferences, and contacted experts. In
      addition, we searched the National Institute of Clinical Excellence fertility
      assessment and treatment guidelines (NICE 2004) and handsearched reference lists 
      of relevant systematic reviews and randomised trials. SELECTION CRITERIA: All
      randomised trials on the intention to perform IVM before IVF or ICSI and
      conventional IVF or ICSI for sub-fertile women with PCOS. DATA COLLECTION AND
      ANALYSIS: We identified no studies that met the inclusion criteria. MAIN RESULTS:
      There were no trials suitable for inclusion in the review. AUTHORS' CONCLUSIONS: 
      There are no randomised controlled trials upon which to base any practice
      recommendations regarding IVM before IVF or ICSI for women with PCOS. There is an
      urgent need for randomised trials in this field.
FAU - Siristatidis, Charalambos S
AU  - Siristatidis CS
AD  - Department of Obstetrics & Gynaecology, University of Aberdeen, Assisted
      Reproduction Unit, Aberdeen Maternity Hospital, Forest Hill, Aberdeen, UK, AB25
      2ZD. [email protected]
FAU - Maheshwari, Abha
AU  - Maheshwari A
FAU - Bhattacharya, Siladitya
AU  - Bhattacharya S
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20090121
PL  - England
TA  - Cochrane Database Syst Rev
JT  - The Cochrane database of systematic reviews
JID - 100909747
SB  - IM
UIN - Cochrane Database Syst Rev. 2013;10:CD006606. PMID: 24101529
MH  - Female
MH  - Fertilization in Vitro/*methods
MH  - Humans
MH  - In Vitro Techniques
MH  - *Infertility, Female/etiology
MH  - Oocyte Retrieval/*methods
MH  - Oocytes/*physiology
MH  - Polycystic Ovary Syndrome/*complications
MH  - Sperm Injections, Intracytoplasmic
RF  - 40
EDAT- 2009/01/23 09:00
MHDA- 2009/03/20 09:00
CRDT- 2009/01/23 09:00
AID - 10.1002/14651858.CD006606.pub2 [doi]
PST - epublish
SO  - Cochrane Database Syst Rev. 2009 Jan 21;(1):CD006606. doi:
      10.1002/14651858.CD006606.pub2.

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