Abstract
A better control of ovarian hyperstimulation is an important element in improving results of in vitro fertilization (IVF). Many existing therapeutic protocols utilise substances like clomiphene citrate (CC), human gonadotropins (HMG) or GnRH. Because of the overall satisfactory results, the gonadotropins alone or associated with clomiphene citrate have generally been used in the induction of ovulation. However, there are two major drawbacks in these regimens. A proportion of patients show a poor reproductive response due to poor follicular development. The presence of frequent spontaneous LH surges and even elevated LH levels during the late follicular phase before the induction of ovulation by HCG influences the results. To avoid these endogenous pituitary interferences, the production of reversible medical hypophysectomy, by use of GnRH analogs, has been advocated.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Porter, RN, Smith, W, Caret, IL, Abdul Wahid, NA and Jacobs, HS (1984). Induction of ovulation for in vitro fertilisation using Buserelin and gonadotropins. Lancet, ii, 1284
Fleming, R, Haxton, MJ, Yates, RWS, Conaghan, C and Coutts, JRT (1985). A simple procedure for the induction of multiple follicular growth with blockage of the LH surge in normal women. Program of 67th Annual Meeting of the Endocrine Society, Baltimore, Maryland, USA, Abstract, 149
Barriere, P, Lopes, P, Boiffard, JP, Pousset, C, Quentin, M, Sagot, P, L’Hermite, A, Lerat, MF and Charbonnel, B (1987). Use of GNRH analogues in ovulation induction for IVF: benefit of a short administration regimen. J IVF-ET, 4, 64
Eibschitz, I, Belaisch-Allart, J and Frydman, R (1986). In vitro fertilization management and results in stimulated cycles with spontaneous LH discharge. Fertil Steril, 45., 231
Nader, S, Berkowitz, AS, Maklad, N, Wolf, DP and Held, B (1986). Characteristics of patients with and without gonadotropin surges during follicular recruitement in an in vitro fertilization embryo transfer program. Fertil Steril, 45, 75
Lejeune, B, Degueldre, M, Camus, M, Vekemans, M, Opsomer, L and Leroy, F (1986). In vitro fertilisation and embryo transfer as related to endogenous LH rise or HCG administration. Fertil Steril, 45, 377
Wolf, P, Ochs, D, Nader, S and Berkowitz, A (1986). Undetected ovulation in in vitro fertilization — embryo transfer patients. Fertil Steril, 5, 892
Howies, CM, McNamee, MC, Edwards, RG, Goswamy, R and Steptoe, PC (1986). Effect of high tonic levels of luteinizing hormone on outcome in vitro fertilization. Lancet, ii, 521
Ben Rafael, Z, Meloni, F, Strauss, JF, Blasco, L, Mastroianni, L and Flickinger, GL (1987). Relationships between polypronuclear fertilization and follicular fluid hormones in gonadotropin treated women. Fertil Steril, 47, 284
Meldrum, DR, Tsad, Z, Monroe, SE, Braunstein, GD, Sladek, J, Vale, W, Lu, JKH, Rivier, J, Judd, HL and Chang, RJ (1984), Stimulation of LH fragments with reduced bioactivity following GNRH agonist administration in women. J Clin Endocrin Metab, 58, 755
Abuzeid, MI and Yeoman, R (1987). Luteinizing hormone bioactivity in human menopausal gonadotropin, human chorionic gonadotropin — induced cycles. Fertil Steril, 47, 238
Neveu, S, Hedon, B, Bringer, J, Chincholle, JM, Arnal, F, Humeau, C, Cristol, P and Viala, JL (1987). Ovarian stimulation by a combination of a GNRH agonist and gonadotropins in IVF. Fertil Steril, 47, 639
Eppig, JJ (1986). Action de la LHRH sur l’ovaire. Contracept Fertil Sexualte, 14, 859
Bramley, TA, Menzies, GS and Baird, DT (1985). Specific binding of gonadotrophin-releasing hormone and an agonist to human corpus luteum homogenates: characterization, properties and luteal phase levels. J Clin Endocrinol Metab, 61, 834
Chong, AP, Rafael, RW and Forte, CC (1986). Influence of weight in the induction of ovulation with HMG and HCG. Fertil Steril, 46, 599
Salat-Baroux, J, Cornet, D, Antoine, JM, Alvarez, S, Alfiere, L and Bonnardot, JP (1987). Un cas de stimulation grave au cours d’une fecondation in vitro suivie de grossesse. Gynecologie, 38, 113
Porter, R, Smith, W, Craft, I, Abdul Wahid, N and Jacobs, H (1986). Induction of multifollicular development for IVF using buserelin and gonadotropins: clinical and endocrine results. J IVF-ET, 3, 174
Zorn, JR (1987). Les analogues de la LHRH et les nouvelles techniques d’induction de l’ovulation pour la fecondation in vitro et le transfert intratubaire des gametes. Contracept Fertil Sexualte, 15, 771
Chillick, CF, Itskovitz, J, Hahn, DW, McGuire, JL, Danforth, DR and Hodgen GD (1987). Characterizing pituitary response to the gonadotropin releasing hormone antagonist in monkeys: tonic follicle stimulating hormone/luteinizing hormone secretion versus acute GnRH challenge tests before, during and after treatment. Fertil Steril, 48, 480
Lyles, R, Gibbons, WE, Dodson, MG, Poindexter, AN, Young, RL, Rossavik, IK and Findley, WE (1985). Characterization and response of women undergoing repeat cycles of ovulation induction in an in vitro fertilization and embryo transfer program. Fertil Steril, 44. 832
Belaish-Allart, J, Frydman, R, Fries, N and Testart, J (1986). FSH purifiee et fecondation in vitro. Contracept Fertil Sexualte, 14., 697
Kenigsberg, D, Littman, BA, Williams, R and Hodgen, GO (1984). Medical hypophysectomy — Variability of ovarian response to gonadotrophin therapy. Fertil Steril, 42, 116
Neveu, S, Hodon, B, Mares, P, Bringer, J, Arnal, F, Deschamps, F, Cristol, P and Humeau, P (1987). Experience en FIV d’un agoniste du GNRH: la Buserelin. Contr Fertil Sexualte, 14. 774
Messinis, TE and Templeton, A (1986). Urinary oestrogen levels and follicle ultrasound measurement in clomifene induced cycles with an endogenous LH surge. Brit J Obstet Gynecol, 93, 43
Friedrich, W, Lire, K, Korner, H and Wilken, T (1986). The follicular phase stimulated by human pituitary gonadotrophin and the luteal phase following IVF. Exptl Clin Endocrinol, 87, 1
Levran, D, Lopata, A, Nayerden, PL, Martin, MJ, McBain, JC, Baylay, CM, Speirs, AL and Johnston, WIH (1985). Analysis of the outcome of IVF in relation to the timing of HCG administration by the duration of estradiol rise in stimulated cycles. Fertil Steril, 44. 335
Quigley, MM, Sokoloski, JE and Richards, SI (1985). Timing HCG administration by days of oestradiol rise. Fertil Steril, 44, 791
Zarutskie, PW, Kuzan FB, Dixon, L, Soules, MR (1987). Endocrine changes in the late follicular and postovulatory intervals as determinants of the IVF pregnancy rate. Fertil Steril, 47, 137
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Barriere, P., Lopes, P., Charbonnel, B. (1990). Induction of Ovulation with the Combination of LHRH Analog in a Short Protocol and Exogenous Gonadotropins. In: Vickery, B.H., Lunenfeld, B. (eds) GnRH Analogues in Cancer and Human Reproduction. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2169-6_15
Download citation
DOI: https://doi.org/10.1007/978-94-009-2169-6_15
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7474-2
Online ISBN: 978-94-009-2169-6
eBook Packages: Springer Book Archive