Comparison of recombinant and urinary follicle-stimulating hormone preparations in short-term gonadotropin releasing hormone agonist protocol for in vitro fertilization-embryo transfer.

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This study found that recombinant FSH preparations are more efficient than urinary FSH in patients undergoing IVF-ET with a short-term GnRH-a protocol, with the two recombinant preparations showing comparable effectiveness.

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This prospective randomized study evaluated 88 women undergoing IVF-ET with a short-term GnRH agonist (triptorelin) protocol, comparing urinary FSH (150 IU/day) with two recombinant FSH preparations (follitropin-α 100 IU/day or follitropin-β 100 IU/day), with subsequent dose adjustments based on ovarian response. The overall stimulation required a significantly lower total FSH dose in patients receiving recombinant FSH than in those receiving urinary FSH, and serum FSH levels were higher in the urinary group. Ovarian response and IVF outcomes did not differ significantly between recombinant preparations and urinary FSH. The paper concludes on efficiency differences but notes comparable effectiveness, without identifying a trial limitation in the abstract provided. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

PurposeTo compare the efficiency and efficacy of two recombinant human FSH (r-FSH) and urinary (u-FSH) preparations in patients undergoing superovulation for IVF-ET using a short-term gonadotropin releasing hormone agonist (GnRH-a) (Triptorelin) protocol.MethodsA total of 88 women undergoing IVF-ET were included in this prospective study. They were randomized to receive u-FSH (150 IU/d), follitropin-alpha (100 IU/d), or follitropin-beta (100 IU/d) for 2 days, and dosages were subsequently adjusted according to the ovarian response.ResultsThe FSH dose required for the overall stimulation was significantly lower in patients treated with r-FSH than in those treated with u-FSH while serum FSH values were higher in the latter group. There were no statistically significant differences in ovarian response and IVF outcome between r-FSH preparations.ConclusionsRecombinant FSH preparations have a higher efficiency than urinary ones in patients undergoing IVF-ET using a short-term GnRH-a protocol. In this situation, the two recombinant follitropins have comparable effectiveness.
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Abstract

Purpose: To compare the efficiency and efficacy of two recombinant human FSH (r-FSH) and urinary (u-FSH) preparations in patients undergoing superovulation for IVF-ET using a short-term gonadotropin releasing hormone agonist (GnRH-a) (Triptorelin) protocol.

Methods

A total of 88 women undergoing IVF-ET were included in this prospective study. They were randomized to receive u-FSH (150 IU/d), follitropin-α (100 IU/d), or follitropin-β (100 IU/d) for 2 days, and dosages were subsequently adjusted according to the ovarian response.

Results

The FSH dose required for the overall stimulation was significantly lower in patients treated with r-FSH than in those treated with u-FSH while serum FSH values were higher in the latter group. There were no statistically significant differences in ovarian response and IVF outcome between r-FSH preparations.

Conclusions

Recombinant FSH preparations have a higher efficiency than urinary ones in patients undergoing IVF-ET using a short-term GnRH-a protocol. In this situation, the two recombinant follitropins have comparable effectiveness. Similar content being viewed by others

References

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