- Ensieh Sh.Tehrani
- 1- Department of Endocrinology and Female Infertility, Royan Institute, Tehran, Iran
- 2- Department of Gynecology and Obstetrics ,Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- 3- Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
- Batool Hossein Rashidi
- 1- Department of Gynecology and Obstetrics ,Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- 2- Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
- Mahnaz Ashrafi
- 1- Royan Research Center, Endocrinology & Infertility Department, Tehran, Iran
- 2- Department of Obstet . and Gynecol Faculty of Medicine, Iran Medical Sciences University, Tehran, Iran
- Nili Mehrdad
- - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Received: 7/1/2004 Accepted: 7/1/2004 - Publisher : Avicenna Research Institute |
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Abstract
Introduction: Oocyte donation is a well established method for the treatment of infertility in women. The high success rate of this procedure has led to its wide application in women with ovarian failure or dysfunction at various ages with different etiologies. We decided to study the success rate of IVF cycles following oocyte donation in patients with and without ovarian function. Materials and Methods: In this prospective clinical study, pregnancy rate after using donated oocyte was studied in the two groups between 1999 and 2001 at Royan institute. One group (n=25) suffered from premature ovarian failure (POF) while the other group (n=23) used donated oocytes due to other reasons than POF (Poor ovarian response). While endometrial preparation was performed by intramuscular administration of Estradiol Valerate and progesterone in both groups, the poor responder group received additional injections of GnRH agonist during endometrial preparation. SPSS 11.5 software program was used for data entry and the results were analyzed by t-test, Chi –Square and Mann Whitney tests. P-value <0.05 was considered as the significance level. results: a total of 48 women were included in this study. twenty five patients (52.1%) had pof and 23 patients were poor responders. there were no statistically significant differences between the two groups in endometrial thickness on transfer day and the number of transferred embryos (p>0.05). Similarly, no significant difference was observed when the pregnancy rate in the POF group (29.2%) was compared with the poor responder group (40.9%). Pregnancy outcome and complications such as multiple pregnancy, preterm labor, IUGR and preeclampcia were not statistically different between the two groups. Conclusion: The pregnancy rate with donated oocyte in patients with and without ovarian function will be similar, if patients receive good endometrial preparation .It seems that quality of donated oocyte is important factor and selection of donors with the best quality of oocyte is recommended in oocyte donation programs.0.05>
Keywords:
Oocyte donation, Premature ovarian failure, Poor responder, Pregnancy rate, In Vitro fertilization To cite this article:References
- Poppe K., Velkeniers B. Thyroid and infer-tility. Verh K Acad Geneeskd Belg.2002;64(6): 389-99.
- Geelhoed D.W., Nayembil D., Asare K., Scha-gen van Leeuwen J.H., van Roosmalen J. Infertil-ity in rural Ghana. Int J Gynaecol Obstet.2002;79(2):137-42.
- Baczkowski T., Kurzawa R., Glabowski W. Methods of embryo scoring in in vitro fertiliza-tion. Reprod Biol.2004;4(1):5-22.
- Letur-Konirsch H. Oocyte donation in France and national balance sheet (GEDO). Different European approaches. Gynecol Obstet Fertil. 2004;32(2):108-15.
- Klein J., Sauer M.V. Oocyte donation. Best Pract Res Clin Obstet Gynaecol.2002;16(3):277-91.
- Sheffer- Mimouni G., Mashiach S.H., Dor J., Levran D, Seidman D.S. Factors influencing the obstetric and perinatal outcome after oocyte donation .Hum Reprod.2002;17(10):2636-2640.
- Sauer M.V., Paulson R.J. Oocyte and embryo donation. Curr Opin Obstet Gynecol.1995;7(3): 193-8.
- Talbert L.M. Oocyte donation. Curr Opin Obstet Gynecol.1992;4(5):732-5.
- Tarlatzis B.C., Pados G. Oocyte donation: clinical and practical aspects. Mol Cell Endocri- nol.2000;30:161(1-2):99-102.
- Sauer M.V. Pregnancy wastage and reproduc-tive aging: the oocyte donation model. Curr Opin Obstet Gynecol.1996;8(3):226-9.
- Lydic M.L., Liu J.H., Rebar R.W., Thomas M.A., Cedars M.I. Success of donor oocyte in in vitro fertilizationembryo transfer in recipients with and without premature ovarian failure. Fertil Steril.1996;65(1):98-102.
- Saranti L., Allahi F., Olivennes F., Schwab B., Rongieres -Bertrand C. Fryd R. Results of oocyte donation in women with different indications, and therapeutic strategies. Contracept Fertile Sex. 1997;25(7-8):643-6.
- Remohi J., Gartner B., Gallardo E., Yalil S., Simon C., Pellicer A. Pregnancy and birth rates after oocyte donation. Fertil Steril.1997;67(4): 717-23.
- Sauer M.V., Paulson R.J., Lobo R.A. Oocyte donation to women of advanced reproductive age: pregnancy results and obstetrical outcomes in patients 45 years and older. Hum Reprod.1996;11 (11):2540-3.
- Sauer M.V., Paulson R.J., Ary B.A., Lobo R.A. Three hundred cycles of oocyte donation at the University of Southern California: assessing the effect of age and infertility diagnosis on preg- nancy and implantation rates. J Assist Reprod Genet.1994;11(2):92-6.
- Wong I.L., Legro R.S., Lindheim S.R., Paulson R.J., Sauer M.V. Efficacy of oocytes donated by older women in an oocyte donation programme. Hum Reprod.1996;11(4):820-3.
- Michalas S., Loutradis D., Drakakis P., Kallianidis K., Milingos S., Deligeoroglou E., Aravantinos D. A flexible protocol for the induction of recipient endometrial cycles in an oocyte donation program. Hum Reprod.1996; 11(5):1063-6.