聚焦GnRH激动剂触发剂:PPOS和对抗剂策略之间的协议选择是否会影响结果?
Yusuf Aytaç Tohma1, Fazilet Kübra Boynukalın2, Meral Gültomruk3
1Department of Infertility, Bahceci Ankara IVF Center, Ankara, Turkey.
Archives of gynecology and obstetrics
|October 30, 2025
概括
只有孕激素抑制 (PPOS) 和淋巴激素释放激素 (GnRH) 抗剂方案在使用GnRH激素激活剂时显示出类似的卵细胞产量和活产率. 在这种情况下,在PPOS中使用孕激素不会对临床结果产生负面影响.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 在体外受精 (IVF)
背景情况:
- 选择卵巢刺激方案会影响试管婴儿的结果.
- 淋巴激素释放激素激动剂 (GnRHa) 触发剂被广泛使用.
- 将仅孕激素抑制 (PPOS) 和GnRH对抗剂协议进行比较对于优化试管婴儿治疗至关重要.
研究的目的:
- 为了评估GnRHa触发器在PPOS和GnRH抗剂协议中的有效性.
- 为了比较两个刺激方案之间的卵细胞产量和怀孕率.
主要方法:
- 对802名接受试管婴儿治疗的患者进行了回顾性队列研究.
- 患者接受了用淋巴激素进行的卵巢刺激,其次是GnRHa触发器.
- 在GnRH抗剂 (n=372) 和PPOS (n=430) 协议之间进行比较.
主要成果:
- 这两种方案都产生了类似的卵细胞计数和胚胎学结果.
- 临床怀孕率 (63.6%与63.8%) 和活产率 (51.7%与52.2%) 是相似的.
- 胚胎质量,而不是刺激协议,预测了活产.
结论:
- PPOS和GnRH对抗剂协议导致类似的卵细胞产量和活产率与GnRHa触发.
- 在PPOS中使用孕激素与使用GnRHa触发器时较差的临床结果无关.
- 需要进一步的研究来了解机制和长期影响.
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