Role of antral follicle count in controlled ovarian hyperstimulation and intrauterine insemination cycles in patients with unexplained subfertility

Erdem, Mehmet; Erdem, Ahmet; Güler, İsmail; Atmaca, Songul

doi:10.1016/j.fertnstert.2007.06.028

Cited by 21 publications

(14 citation statements)

References 36 publications

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“…The AFC has been confirmed as a good predictor of ovarian response in in vitro fertilization (IVF) cycles (14). The lower AFC is associated with lower clinical pregnancy and live birth rates in unexplained subfertile couples treated with controlled ovarian hyperstimulation (15). All of these results and studies proved some predictive power of AFC in ART and provided only general approximations.…”

Section: Discussionmentioning

confidence: 98%

Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial

Ćorić

Barišić

Pavicic

et al. 2010

Arch Gynecol Obstet

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PurposeThe assessment of ovarian reserve by antral folicule count (AFC) following electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas. MethodsForty-five patients between 18 and 35 years, with unilateral endometriomas were randomly analyzed. Laparoscopic cystectomy was performed by the stripping method. Ovarian haemostasis was obtained either by suturing (group A, n = 23) or by bipolar electrocoagulation (group B, n = 22). AFC was performed by ultrasound on the third day of the three postoperative menstrual cycles. The sum of AFC was compared between sutured (A1) and electrocoagulated (B1) ovaries, as well as between intact ovaries of both groups (A0 -intact ovaries in sutured group; B0 -intact ovaries in electrocoagulated group). ResultsThe median of AFC was significantly lower in operated ovaries than in intact ovaries in both groups of patients, regardless of suturing (A1 median: 12 (range 9-19) versus A0 median: 21.0 (range 15-27), p<0.05) or electrocoagulation (B1:5.0 (2-10) vrs B0:18.5 (8-29) p<0.05). The median AFC was significantly higher in sutured ovaries than in electrocoagulated ovaries (A1:12 (9-19) vrs B1:5.0 (2-10), p<0.05). ConclusionOur preliminary data show that operation on ovarian endometriomas could reduce ovarian reserve. The AFC value suggests that the ovarian reserve was less reduced in sutured ovaries than in those electrocoagulated. Suturing as a method of haemostasis could be a better choice after stripping ovarian endometriomas.

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Section: Discussionmentioning

confidence: 98%

Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial

Ćorić

Barišić

Pavicic

et al. 2010

Arch Gynecol Obstet

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“…In controlled ovarian stimulation and IUI treatment, two published studies demonstrated that AFC was predictive of pregnancy outcome (9,10), whereas our previous study (11) showed that AFC was not predictive.…”

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confidence: 66%

Evaluating the performance of serum antimullerian hormone concentration in predicting the live birth rate of controlled ovarian stimulation and intrauterine insemination

Yeung

Lau

et al. 2010

Fertility and Sterility

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“…The difference in PR found between these two groups was not statistically significant (OR: 1.1, 95% CI: 0.6-2.0). Similarly, Erdem et al (6) determined that the number of dominant follicles on the day of hCG is not associated with PR (OR: 0.81, 95% CI: 0.44-1.49). In contrast to these observations, Ibérico et al (11) showed an increase in PR when follicle number rises on couples with unexplained subfertility.…”

Section: Discussionmentioning

confidence: 96%

Role of Dominant Follicle Count in Controlled Ovarian Stimulation With Intrauterine Insemination Cycles in Patients With Unexplained Infertility

Yazici

Durukan

Savaş

2014

ZKTB

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Objective:The aim of the present study was to determine the predictive value of dominant follicle count as a marker for pregnancy and multiple pregnancy rate in controlled ovarian hyperstimulation (COH) with intrauterine insemination (IUI) cycles in couples with unexplained subfertility. Material and Methods:The study was designed as a prospective non-randomized trial and involving 214 women with unexplained infertility was underwent COH-IUI at a University of Mersin School of Medicine, Obstetric and Gynecology department between May 2008 and September 2010.Results: Of 532 COH cycles started, 513 were completed and resulted in 62 clinical pregnancies (12.1% per completed cycle). There were 9 (14.5%) multiple pregnancies and 7 (11.3%) miscarriages. In cycles with a single, two and three dominant follicles (>16 mm) on the day of hCG the clinical pregnancy rate were 8.3%, 14.7% and 27.1% respectively. Three dominant follicles (>16 mm) count have increased pregnancy rate more than the 1 or 2 (p value 0.001 and 0.044 respectively). In addition cycles with a single, two and three dominant follicles the multiple pregnancy rate were 7.4%, 15.8% and 25% respectively. The multiple pregnancy rate was similar in cycles with 1 and 2 dominant follicles and lower than three (p:0.004). Conclusion:Three follicular growths are associated with increased pregnancy rates in COH-IUI women with unexplained subfertility. In cycles with one or two follicles, the multiple pregnancy rates are not significantly different however 3 dominant follicles associated with increased multiple pregnancy rates.

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Role of antral follicle count in controlled ovarian hyperstimulation and intrauterine insemination cycles in patients with unexplained subfertility

Cited by 21 publications

References 36 publications

Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial

Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial

Evaluating the performance of serum antimullerian hormone concentration in predicting the live birth rate of controlled ovarian stimulation and intrauterine insemination

Role of Dominant Follicle Count in Controlled Ovarian Stimulation With Intrauterine Insemination Cycles in Patients With Unexplained Infertility

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