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孕激素原始卵巢刺激与诺列酸 (NETA-PPOS) 和GNRH-抗剂协议之间的卵细胞能力是可比的:在PGT-A周期中进行的一项匹配病例对照研究
Alberto Vaiarelli1, Danilo Cimadomo1, Alessandro Ruffa2
1IVIRMA Global Research Alliance, GENERA, Clinica Valle Giulia, Rome, Italy.
概括
使用诺列乙酸进行的孕激素辅助卵巢刺激 (PPOS) 在接受试管婴儿的晚期孕妇中显示出与传统的GNRH-对抗剂协议相比的卵细胞能力. 这表明PPOS是一种可行的生育保护和基因检测的替代方案.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 辅助生殖技术 辅助生殖技术
背景情况:
- 传统的GnRH-对抗剂协议是辅助生殖中卵巢刺激的标准.
- 使用诺列乙酸 (NETA) 的孕激素辅助卵巢刺激 (PPOS) 提供了一种潜在的替代方案,在成本和患者遵守方面可能带来好处.
研究的目的:
- 为了比较卵细胞能力和NETA-PPOS和常规的GnRH-对抗剂协议之间的后续结果,在接受试管婴儿受精的晚龄孕妇中,进行了前植入性遗传测试,以检测化 (PGT-A).
主要方法:
- 一项追溯匹配病例控制研究将89名接受NETA-PPOS的妇女与178名对照进行了匹配.
- 两组都接受了复合FSH卵巢刺激与GnRH激动剂触发.
- 主要结局结果是每位第II阶段卵细胞 (每MIIEBR) 的euploid胚胎细胞发育率.
主要成果:
- 每个MII的EBR在NETA-PPOS和对照组 (13.9%对13.3%) 之间是可比的.
- 胚胎细胞形态,发育速率和经过欧化单个胚胎细胞移植后的临床结果相似.
- 累积活产率和新生儿结局在两组之间也是相似的.
结论:
- 在NETA-PPOS后的卵细胞能力与标准的卵巢刺激协议相比较.
- 由于潜在的成本和合规优势,NETA-PPOS是一个令人放心的选择,特别是在生育保护,PGT-A和卵细胞捐赠方面.
- 建议进行进一步的研究,包括随机对照试验,以证实这些发现,并探索其他结果,如卵细胞产量和围产期结果.
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