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Microflare Protocol in Poor Responders

Phase 4
Completed
Conditions
Female Infertility Due to Diminished Ovarian Reserve
Interventions
Drug: Growth hormone (Norditropin, Novo nordisk)
Registration Number
NCT02185326
Lead Sponsor
Woman's Health University Hospital, Egypt
Brief Summary

The effect of use of the microflare down regulation protocol on the outcome of the IVF/ICSI cycles in poor responders

Detailed Description

The microflare as a method of down regulation protocol can be used to prepare the females suffering from poor ovarian reserve to undergo IVF/ICSI cycles. In this study we are trying to outline its effect on the clinical pregnancy rate as a main primary outcome, and to compare its use with the addition of growth hormone to the same protocol.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
145
Inclusion Criteria
  • females fulfilling the criteria of the ESHRE consensus 2011:

At least two of the following three features must be present:

(i) Advanced maternal age (≥40 years) or any other risk factor for POR; (ii) A previous POR (≤3 oocytes with a conventional stimulation protocol); (iii) An abnormal ovarian reserve test (i.e. AFC ,5-7 follicles or AMH ,0.5 -1.1 ng/ml).

Exclusion Criteria
  • women who suffer from any other cause of infertility other than poor ovarian reserve
  • refusal of the patient to consent for using her data in the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Microflare and growth hormoneGrowth hormone (Norditropin, Novo nordisk)the patients in this group were given oral contraceptive pills (OCPs) for 28 days, this was followed by 2 days free. Triptorelin (Decapeptyl Ferring Pharmaceuticals, Germany) 0.05 mg/day S.C. was then started daily followed by human menopausal gonadotropin IM daily (HMG 75 IU, Merional, IBSA) 3 days later. Growth hormone (Norditropin, Novo nordisk) was administrated on day 6 of HMG stimulation daily in a dose of 2.5 mg S.C. till the day of hCG administration.
Primary Outcome Measures
NameTimeMethod
Clinical pregnancy rates15 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kasr el aini hospital

🇪🇬

Cairo, Egypt

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