P–609 The chances of one live birth rates after first ART cycle in minimal stimulation cycle IVF with letrozole only and natural cycle IVF

Study question Are one live birth rates (LBRs) similar in minimal stimulation cycle IVF with letrozole only and natural cycle IVF for the first ART cycle? Summary answer LBRs after first ART cycle in minimal stimulation cycle IVF with letrozole only are superior to natural cycle IVF. What is known already The addition of letrozole to gonadotropins in ovarian stimulation (OS) may reduce the risk of OHSS, but there is no significant difference were reported in ongoing pregnancy rate or number of oocytes retrieved in the letrozole + FSH group compared to the FSH only. No differences were also reported in clinical pregnancy rates or number of mature oocytes in the additional of letrozole in an GnRH antagonist protocol group compared to the GnRH antagonist group. There are no previous study comparing LBRs after first ART cycle in minimal stimulation cycle IVF with letrozole and natural cycle IVF. Study design, size, duration Data for this retrospective cohort study were obtained 643 women, 30–39 years of age started their first ART cycle at one private fertility clinic between January 2016- December 2019. Participants/materials, setting, methods A total of 643 women were scheduled their first oocyte retrieval cycle. 118 women started with letrozole (LE) and 525 women started natural cycle (NC). The main strategy for OS in our center is minimal stimulation and natural cycle IVF. Patients consulted with gynecologists to determine their treatment plan based on patients’ preference or their menstrual cycle. All pregnancies generated from oocyte retrieval during the first IVF cycle including fresh and frozen-thaw cycles were registered. Main results and the role of chance The number of retrieved oocytes and the normal fertilization rates were significantly higher in the LE than NC (4.4 vs 3.4, 77.6% vs 71.1%), p < 0.05 respectively). There was no significant difference in the clinical pregnancy rates (CPRs) per embryo transfer (ET) (fresh cleavage stage ET: 32.9% vs 28.0%, frozen-thaw blastocyst ET: 39.4% vs 44.9% ns). However, the CPRs and LBRs per oocyte retrieval (OR) were significantly higher in the LE group (39.0% vs 28.6, 33.9% vs 21.9%, p < 0.05 respectively). In a subsequent regression analyses, LBRs per OR of LE was significantly higher than NC as well. (adjusted OR = 1.63 (95% CI: 1.02–2.58, p = 0.041). Limitations, reasons for caution The strength of the present study was the use of a large cohort of women who underwent minimal stimulation IVF with letrozole only. Although our results are promising, limited by retrospective cohort study. These interpretations prompted the need for a perspective cohort study to evaluate the efficacy of letrozole. Wider implications of the findings: When comparing minimal stimulation IVF with letrozole only and natural cycle IVF, we found significantly higher LBRs per OR in minimal stimulation IVF with letrozole only, despite similar CPRs per ET. Trial registration number none

Masking interferes with haptic texture perception from sequential exploratory movements

Haptic texture perception is based on sensory information sequentially gathered during several lateral movements (“strokes”). In this process, sensory information of earlier strokes must be preserved in a memory system. We investigated whether this system may be a haptic sensory memory. In the first experiment, participants performed three strokes across each of two textures in a frequency discrimination task. Between the strokes over the first texture, participants explored an intermediate area, which presented either a mask (high-energy tactile pattern) or minimal stimulation (low-energy smooth surface). Perceptual precision was significantly lower with the mask compared with a three-strokes control condition without an intermediate area, approaching performance in a one-stroke-control condition. In contrast, precision in the minimal stimulation condition was significantly better than in the one-stroke control condition and similar to the three-strokes control condition. In a second experiment, we varied the number of strokes across the first stimulus (one, three, five, or seven strokes) and either presented no masking or repeated masking after each stroke. Again, masking between the strokes decreased perceptual precision relative to the control conditions without masking. Precision effects of masking over different numbers of strokes were fit by a proven model on haptic serial integration (Lezkan & Drewing, Attention, Perception, & Psychophysics 80(1): 177–192, 2018b) that modeled masking by repeated disturbances in the ongoing integration. Taken together, results suggest that masking impedes the processes of haptic information preservation and integration. We conclude that a haptic sensory memory, which is comparable to iconic memory in vision, is used for integrating sequentially gathered sensory information.

Effect of Elbow Flexion Angle on Cortical Voluntary Activation of the Non-Impaired Biceps: A 3 Days Repeated Sessions Study

ABSTRACTMeasurement of cortical voluntary activation (VA) with transcranial magnetic stimulation (TMS) is limited by technical challenges. One challenge is the difficulty in preferential stimulation of cortical neurons projecting to the target muscle and minimal stimulation of cortical neurons projecting to antagonists. Thus, the motor evoked potential (MEP) response to TMS in the target muscle compared to its primary antagonist may be an important parameter in the assessment of cortical VA. Modulating isometric elbow angle alters the magnitude of MEPs at rest. The purpose of this study was to evaluate the effect of isometric elbow flexion-extension angle on: 1) the ratio of biceps MEP relative to the triceps MEP amplitude across a range of voluntary efforts, and 2) cortical VA. Ten non-impaired participants completed three sessions wherein VA was determined using TMS at 45°, 90° and 120° of isometric elbow flexion, and peripheral electrical stimulation at 90° of elbow flexion. The biceps/triceps MEP ratio was greater in the more flexed elbow angle (120° flexion) compared to 90° during contractions of 50% and 75% of maximum voluntary contraction. Cortical VA assessed in the more extended elbow angle (45° flexion) was lower relative to 90° elbow flexion; this effect was dependent on the biceps/triceps MEP ratio. Cortical VA was sensitive to small changes in the linearity of the voluntary torque and superimposed twitch relationship, regardless of the elbow angle. Peripheral and cortical VA measures at 90° of elbow flexion were repeatable across three days. In conclusion, although the biceps/triceps MEP ratio was increased at a more flexed elbow angle relative to 90°, there was not a corresponding difference in cortical VA. Thus, increasing the MEP ratio via elbow angle did not affect estimation of cortical VA.