What is the True Place of a Double Stimulation and Double Oocyte Retrieval in the Same Cycle for Patients Diagnosed with Poor Ovarian Reserve? A Systematic Review Including a Meta-analytical Approach

Overview

Journal J Assist Reprod Genet

Publisher Springer

Specialties Genetics
Reproductive Medicine

Date 2019 Dec 5

PMID 31797242

Citations 16

Authors

Konstantinos Sfakianoudis

Konstantinos Pantos

Sokratis Grigoriadis

Anna Rapani

Evangelos Maziotis

Petroula Tsioulou

Polina Giannelou

Adamantia Kontogeorgi

Agni Pantou

Nikolaos Vlahos

Michael Koutsilieris

Mara Simopoulou

Affiliations

Soon will be listed here.

Abstract

Purpose: This systematic review including a meta-analytical approach aims to investigate the safety and efficacy of employing a double ovarian stimulation (DuoStim) and a subsequent double oocyte retrieval in the same menstrual cycle, in poor ovarian reserve (POR) patients.

Methods: A systematic search of literature was performed in the databases of PubMed/MEDLINE, Embase, and Cochrane Central Library up until March 2019. Both prospective and retrospective cohort studies considered suitable for inclusion reported on women with POR undergoing a DuoStim in the follicular (FPS) and luteal phase (LPS) of the same menstrual cycle. Following the systematic review of the literature, a meta-analytical approach was attempted.

Results: This study indicates that DuoStim is correlated with a higher number of retrieved oocytes, mature MII oocytes, and good-quality embryos in comparison to conventional stimulation. Additionally, LPS seems to be correlated with an equal or an even higher overall performance in comparison to FPS.

Conclusion: DuoStim favors an enhanced clinical outcome in regard to the total number of yielded oocytes, mature oocytes, and available embryos, along with the quality of obtained embryos. Sourced data indicate that LPS is not correlated with a higher aneuploidy rate. This option may present as promising for the time-sensitive nature of POR patients' management, by enabling a higher oocyte yield during a single menstrual cycle.

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