2004
DOI: 10.1016/s1472-6483(10)61632-x
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Ovulation induction with urinary FSH or recombinant FSH in polycystic ovary syndrome patients: a prospective randomized analysis of cost-effectiveness

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Cited by 25 publications
(22 citation statements)
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“…Polycystic ovary syndrome (PCOS) is a common heterogeneous disorder in women of child-bearing age, and the most common cause of female infertilitydue to anovulation [1,2]. Whilst the pathogenesis of PCOS remains largely unknown, accumulating data suggest that PCOS is a complex disease which involves both genetic and environmental factors [3,4,5].…”
Section: Introductionmentioning
confidence: 99%
“…Polycystic ovary syndrome (PCOS) is a common heterogeneous disorder in women of child-bearing age, and the most common cause of female infertilitydue to anovulation [1,2]. Whilst the pathogenesis of PCOS remains largely unknown, accumulating data suggest that PCOS is a complex disease which involves both genetic and environmental factors [3,4,5].…”
Section: Introductionmentioning
confidence: 99%
“…In the other three reports (9-11) the ratio of the HP-FSH:rec-FSH was 1.5. In one of these studies, 150 IU HP-FSH was compared with 100 of rec-FSH (9) and in the remaining two 75 IU HP-FSH were compared with 50 IU rec-FSH (10,11). In addition, there were some other differences in cycle management (Table 1) and regarding inclusion criteria.…”
Section: Methodsmentioning
confidence: 99%
“…When the results of these three studies were pooled, the PCPR was 16.36% in the rec-FSH group, significantly higher than the 12.31% of the HP-FSH group (RR, 1.394; 95% CI, 1.004-1.936). When the metaanalysis was performed on just the studies in which the HP-FSH:rec-FSH ratio was 1.5, the PCPR was favored by HP-FSH in one trial (10) and in two by rec-FSH (9,11), all of them without statistical significance. When these results were pooled, the PCPRs in the rec-FSH and in HP-FSH groups were highly similar (14.51% vs. 14.93%; RR, 0.970; 95% CI, 0.687-1.369; Supplemental Text 3 and Supplemental Fig.…”
Section: Per Cycle Prmentioning
confidence: 99%
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“…Whether administered as u-hFSH alone or in combination with LH activity (as in hMG), higher doses are needed and may result in fewer oocytes than r-hFSH. [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60]65 This again highlights that the more basic isoform profile of r-hFSH may be more effective in recruiting follicles than u-hFSH or hMG (which contain less potent, more acidic FSH isoforms) and thereby results in the retrieval of higher numbers of oocytes.…”
mentioning
confidence: 99%