Conservative management versus aspiration of functional ovarian CYSTS following long acting GNRH- analog before ovarian stimulation in assisted reproduction
العناوين الأخرى
دراسة مقارنة بين ملاحظة أو شفط أكياس المبيض الوظيفية الناتجة بعد تثبيط الهرمون المفرز للهرمون المحفز على التبويض على نتائج الإخصاب الطبي المساعد
المؤلفون المشاركون
Ahmad, Khalid Jalal
Ibrahim, Musad Muhammad
المصدر
العدد
المجلد 2010، العدد 35 (30 يونيو/حزيران 2010)، ص ص. 81-95، 15ص.
الناشر
جامعة الأزهر المركز الدولي الإسلامي للدراسات و البحوث السكانية
تاريخ النشر
2010-06-30
دولة النشر
مصر
عدد الصفحات
15
التخصصات الرئيسية
الموضوعات
الملخص EN
Objective : to compare the efficiency of transvaginal ultrasound-guided functional ovarian cyst aspiration, with conservative management, in the outcome of patients undergoing IVF / ICSI.
These cysts were identified before ovarian stimulation begun after administration of a midluteal GnRH agonist.
Design : prospective Case-control study Setting: Assisted Reproduction Technology Unit, International Islamic Center for Population Studies & Research, Al-Azhar University.
Methods : women who underwent IVF/ICSI cycle with a long protocol, and developed ovarian cysts, were randomly divided into a cyst aspiration group (n =71) in which the cysts were aspirated after diagnosis and a no intervention group (n = 43) for which the conservative treatment was continued following cyst diagnosis.
Main Outcome Measures : number of follicles, estradiol level and endometrial thickness on the day of hCG administration, number of HMG ampoules used, number of oocytes retrieved, embryo quality, clinical pregnancy and miscarriage rates.
Results : HMG ampoules consumption and days of HMG stimulation were significantly higher among the aspiration group than the no- intervention group (39.4 ± 7.8 vs.
.30.3 ± 8.3, P < 0.01 and 14.7 ± 1.2 vs.
12.4 ± 1.7, p < 0.05, respectively).
The cycle cancellation rate was also significantly higher in the aspiration group on the other hand, no difference between the numbers of oocytes retrieved, embryos quality, the incidence of pregnancy and miscarriage rate between the two groups.
Conclusion : cyst aspiration and conservative management showed similar number of oocytes retrieved, embryos quality, the incidence of pregnancy and miscarriage rate, in patients who develop functional ovarian cysts after pituitary down regulation following luteal phase gonadotropin-releasing hormone agonist administration.
Because cyst aspiration requires anesthesia, extra cost and stress, it would be wise to treat patients with such ovarian cysts conservatively and without any further intervention.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ahmad, Khalid Jalal& Ibrahim, Musad Muhammad. 2010. Conservative management versus aspiration of functional ovarian CYSTS following long acting GNRH- analog before ovarian stimulation in assisted reproduction. Population Sciences،Vol. 2010, no. 35, pp.81-95.
https://search.emarefa.net/detail/BIM-267805
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ahmad, Khalid Jalal& Ibrahim, Musad Muhammad. Conservative management versus aspiration of functional ovarian CYSTS following long acting GNRH- analog before ovarian stimulation in assisted reproduction. Population Sciences No. 35 (2010), pp.81-95.
https://search.emarefa.net/detail/BIM-267805
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ahmad, Khalid Jalal& Ibrahim, Musad Muhammad. Conservative management versus aspiration of functional ovarian CYSTS following long acting GNRH- analog before ovarian stimulation in assisted reproduction. Population Sciences. 2010. Vol. 2010, no. 35, pp.81-95.
https://search.emarefa.net/detail/BIM-267805
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 92-93
رقم السجل
BIM-267805
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر