Adv Biomed Res. 2012;1:71. doi: 10.4103/2277-9175.102975. Epub 2012 Oct 31.
Comparison of Ovarian volume and Antral follicle count with Endocrine tests for prediction of responsiveness in ovulation induction protocols.
Advanced biomedical research
Atoosa Adibi, Farahnaz Mardanian, Somaye Hajiahmadi
Affiliations
Affiliations
- Radiology Department, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.
PMID: 23326801
PMCID: PMC3544132 DOI: 10.4103/2277-9175.102975
Abstract
BACKGROUND: The aim of this study was to determine if the basal antral follicle number and ovarian volume contributes to the prediction of responsiveness in ovulation induction protocol and comparison of it with hormonal tests.
MATERIALS AND METHODS: 52 irregularly-menstruating patients, aged 18-46 years, participated in this prospective study. All the patients underwent a transvaginal sonography to measure the basal ovarian volume and the basal antral follicles count (AFC). Clomiphene citrate challenge test was measured by summation of measurements of FSH on day 2 and 10. All the women received clomiphene citrate from day 2 to 6. Ovarian responsiveness was measured 1 week after termination of clomiphene citrate and was used as gold standard.
RESULTS: Multiple regression analysis revealed that AFC was the only significant factor for ovarian responsiveness prediction. The area under the curve for AFC to discriminate responder ovaries was 0.66 (95% confidence interval, 0.87-0.99). The cutoff value for predicting ovarian responsiveness was 15.5.
CONCLUSION: AFC can contribute to the prediction of responsiveness in ovulation induction protocol better than ovarian volume and hormonal tests.
Keywords: Basal antral follicle; clomiphene citrate challenge test; ovarian volume; ovulation induction; ultrasonography
References
- Hum Reprod. 2003 Jul;18(7):1422-7 - PubMed
- Fertil Steril. 2008 Nov;90(5):2011.e11-2 - PubMed
- Obstet Gynecol. 2004 Jun;103(6):1194-203 - PubMed
- Hum Reprod Update. 2002 Mar-Apr;8(2):141-54 - PubMed
- Hum Reprod. 1997 Feb;12(2):294-7 - PubMed
- Hum Reprod. 2005 Jan;20(1):163-9 - PubMed
- Hum Reprod Update. 2006 Nov-Dec;12(6):685-718 - PubMed
- Reprod Biol Endocrinol. 2007 Mar 15;5:9 - PubMed
- Curr Pharm Biotechnol. 2012 Mar;13(3):398-408 - PubMed
- Fertil Steril. 2007 Oct;88(4):911-4 - PubMed
- Fertil Steril. 2008 Aug;90(2):360-6 - PubMed
- Hum Reprod. 2007 Jul;22(7):1932-41 - PubMed
- Fertil Steril. 2006 Sep;86(3):672-7 - PubMed
- Hum Reprod. 2008 Feb;23(2):451-6 - PubMed
- Psychosomatics. 2007 Jan-Feb;48(1):65-6 - PubMed
- Rev Neurol. 2006 May 1-15;42(9):572-4 - PubMed
- Fertil Steril. 2006 Jun;85(6):1714-22 - PubMed
- Fertil Steril. 2007 Oct;88(4):817-21 - PubMed
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