The ESPART randomized controlled trial in poor ovarian responders aligned with the Bologna criteria: a post hoc subgroup analysis according to poor ovarian response inclusion criteria

2016 ◽  
Vol 106 (3) ◽  
pp. e191
Author(s):  
J. Hubbard ◽  
W. Chin ◽  
P. Humaidan
2021 ◽  
Vol 10 (10) ◽  
pp. 2182
Author(s):  
Jihyun Kim ◽  
Hoyoung Lee ◽  
Tae-Young Choi ◽  
Joong Il Kim ◽  
Byoung-Kab Kang ◽  
...  

Acupuncture is believed to improve ovarian reserve and reproductive outcomes in women undergoing in vitro fertilization (IVF). This study was conducted to evaluate the effect of network-optimized acupuncture followed by IVF on the oocyte yield in women showing a poor ovarian response. This study was an exploratory randomized controlled trial conducted from June 2017 to January 2020 at the Pusan National University Hospital. Women diagnosed with poor ovarian response were enrolled and randomly divided into two groups: IVF alone and Ac + IVF groups (16 acupuncture sessions before IVF treatment). Eight acupoints with high degree centrality and betweenness centrality were selected using network analysis. Among the participants, compared with the IVF treatment alone, the acupuncture + IVF treatment significantly increased the number of retrieved mature oocytes in women aged more than 37 years and in those undergoing more than one controlled ovarian hyperstimulation cycle. The negative correlation between the number of retrieved mature oocytes and consecutive controlled ovarian hyperstimulation cycles was not observed in the Ac + IVF group irrespective of the maternal age. These findings suggest that physicians can consider acupuncture for the treatment of women with poor ovarian response and aged > 37 years or undergoing multiple IVF cycles.


2019 ◽  
Author(s):  
yigong Fang ◽  
huanfang Xu ◽  
chensi Zheng ◽  
liyun He ◽  
tongsheng Su ◽  
...  

Abstract Background: Poor ovarian response (POR), a manifestation of low ovarian reserve and ovarian aging , leads to a significantly reduced pregnancy rate after in vitro fertilization-embryo transfer (IVF-ET) . Acupuncture is effective at improving ovarian reserve. The purpose of this study is to evaluate the effect of acupuncture on increasing the number of retrieved oocytes after controlled ovarian hyperstimulation (COH) in women with POR. Methods: This is a multicenter randomized controlled trial . A total of 140 women with POR will be randomly assigned to receive acupuncture or non-treatment for 12 weeks before COH. The primary outcome will be the number of retrieved oocytes. The secondary outcomes include antral follicle count (AFC), serum level of anti-müllerian hormone (AMH), basal serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) , the score of the self-rating anxiety scale (SAS), the fertilization rate, the cleavage rate, the available embryo rate and the high-quality embryo rate. The safety of acupuncture will also be assessed. Discussion: The results of this trial will identify the effectiveness of acupuncture in the treatment of POR. This will provide a new treatment option for POR patients and physicians.


2020 ◽  
Author(s):  
yigong Fang ◽  
huanfang Xu ◽  
chensi Zheng ◽  
liyun He ◽  
tongsheng Su ◽  
...  

Abstract Background: Poor ovarian response (POR), a manifestation of low ovarian reserve and ovarian aging, leads to a significantly reduced pregnancy rate after in vitro fertilization-embryo transfer. Acupuncture has been increasingly used for improving ovarian reserve. The purpose of this study is to evaluate the effect of acupuncture on increasing the number of retrieved oocytes after controlled ovarian hyperstimulation in women with POR.Methods: This is a multicenter randomized controlled trial. A total of 140 women with POR will be randomly assigned to receive acupuncture or non-treatment for 12 weeks before controlled ovarian hyperstimulation. The primary outcome will be the number of retrieved oocytes. The secondary outcomes include antral follicle count , serum level of anti-müllerian hormone, basal serum levels of follicle stimulating hormone, luteinizing hormone and estradiol, the score of the self-rating anxiety scale, the fertilization rate, the cleavage rate, the available embryo rate and the high-quality embryo rate. The safety of acupuncture will also be assessed.Discussion: The results of this trial will help to identify the effectiveness of acupuncture in the treatment of POR. This may provide a new treatment option for POR patients and their physicians.Trial registration: AMCTR-IPR-18000198. Registered on 10 August 2018, http://www.acmctr.org/showproj.aspx?proj=289


Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Huanfang Xu ◽  
Chensi Zheng ◽  
Liyun He ◽  
Tongsheng Su ◽  
Huidan Wang ◽  
...  

Abstract Background Poor ovarian response (POR), a manifestation of low ovarian reserve and ovarian aging, leads to a significant reduction in the pregnancy rate after in vitro fertilization-embryo transfer. Acupuncture has increasingly been used to improve the ovarian reserve. The purpose of this study will be to evaluate the effect of acupuncture on increasing the number of retrieved oocytes after controlled ovarian hyperstimulation in women with POR. Methods This will be a multicenter randomized controlled trial. A total of 140 women with POR will be randomly assigned to receive acupuncture or nontreatment for 12 weeks before controlled ovarian hyperstimulation. The primary outcome will be the number of retrieved oocytes. The secondary outcomes will be antral follicle counts, serum levels of anti-Müllerian hormone, basal serum levels of follicle stimulating hormone, luteinizing hormone and estradiol levels, scores from the self-rating anxiety scale, fertilization rates, cleavage rates, available embryo rates, and high-quality embryo rates. The safety of acupuncture will also be assessed. Discussion The results of this trial will help to determine the effectiveness of acupuncture in the treatment of POR. This may provide a new treatment option for patients with POR and their physicians. Trial registration AMCTR-IPR-18000198. Registered on 10 August 2018.


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