Monitoring of stimulated cycles in assisted reproduction (IVF and ICSI)

The Cochrane Database of Systematic Reviews
Irene KwanM M E van Rumste

Abstract

Traditional monitoring of ovarian hyperstimulation during in vitro fertilisation (IVF) treatment has included ultrasonography plus serum estradiol concentration to ensure safe practice by reducing the incidence and severity of ovarian hyperstimulation syndrome (OHSS). The need for intensive monitoring during ovarian stimulation in IVF is controversial. It has been suggested that close monitoring is time consuming, expensive and inconvenient for the woman and simplification of IVF therapy by using ultrasound only should be considered. This systematic review assessed the effects of ovarian monitoring by ultrasound only versus ultrasound plus serum estradiol measurement on IVF outcomes and the occurrence of OHSS in women undergoing stimulated cycles in IVF and intra-cytoplasmic sperm injection (ICSI) treatment. To quantify the effect of monitoring controlled ovarian stimulation in IVF and ICSI cycles with ultrasound plus serum estradiol concentration versus ultrasound only in terms of live birth rates, pregnancy rates and the incidence of OHSS. We searched the Menstrual Disorders and Subfertility Group Specialised Register of controlled trials, Cochrane Central Register of Controlled Trials (CENTRAL) on the latest issue of The Coc...Continue Reading

Citations

Apr 25, 2014·Reproductive Biology and Endocrinology : RB&E·Frank VandekerckhovePetra De Sutter
Nov 20, 2019·Minerva ginecologica·Papri SarkarAnthony N Imudia
Jul 23, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·W P MartinsC O Nastri
Mar 6, 2009·Annals of Clinical Biochemistry·Rajeev Srivastava, Vanessa Kay

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