Low Risk of OHSS with Follitropin Delta Use in Women with Different Polycystic Ovary Syndrome Phenotypes: a Retrospective Case Series
Overview
Reproductive Medicine
Affiliations
Background: To explore the efficacy of follitropin delta in ovarian stimulation of patients with the Rotterdam ESHRE/ASRM 2003 phenotypes of polycystic ovarian syndrome (PCOS) using a retrospective case series with an electronic file search in a reproductive medicine clinic.
Case Presentation: Seventy-four patients with PCOS undergoing ovarian stimulation according to the individualized dosing algorithm of follitropin delta for in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI)/oocyte freezing were included. Follitropin delta resulted in a high number of pre-ovulatory follicles at the end of stimulation as expected in patients with PCOS. There was a large number of oocytes retrieved with an acceptable percentage of metaphase II (MII) oocytes. There were no cases of moderate or severe OHSS across all phenotypes.
Conclusion: Follitropin delta, using the individualized dosing algorithm, appears to be a safe method of ovarian stimulation with a low risk of OHSS in PCOS patients without sacrificing successful stimulation outcomes.
Ovarian Hyperstimulation Syndrome (OHSS): A Narrative Review and Legal Implications.
Gullo G, Cucinella G, Stojanovic V, Stojkovic M, Bruno C, Streva A J Pers Med. 2024; 14(9).
PMID: 39338169 PMC: 11433561. DOI: 10.3390/jpm14090915.
Doroftei B, Ilie O, Dabuleanu A, Armeanu T, Maftei R J Assist Reprod Genet. 2024; 41(7):1851-1861.
PMID: 38809330 PMC: 11263530. DOI: 10.1007/s10815-024-03146-1.
Palomba S, Caserta D, Levi-Setti P, Busnelli A J Ovarian Res. 2024; 17(1):60.
PMID: 38486276 PMC: 10938807. DOI: 10.1186/s13048-024-01372-w.
Gazzo I, Bovis F, Colia D, Sozzi F, Costa M, Anserini P Reprod Fertil. 2024; .
PMID: 38330591 PMC: 10959055. DOI: 10.1530/RAF-23-0045.
Baldini G, Mastrorocco A, Sciorio R, Palini S, Dellino M, Cascardi E J Clin Med. 2023; 12(16).
PMID: 37629245 PMC: 10456029. DOI: 10.3390/jcm12165202.