Pnm-12: A Survey on The Relation between Patient's Age, Baseline of FSH Serum, Ovarian Volume and Number of Antral Follicles in Anticipating The Response of Ovary to Ovulation Stimulation
Ovulation is one of the most important stages in treatment of fertility. Considering the importance of this stage and the incidence of treatment failures, much effort has been made to anticipate in some way the responses of ovary to different protocols of ovulation stimulation. Some of the authentic procedure in determination of ovary response to ovulation stimulation methods includes the age of patient, baseline of FSH, ovarian volume and number of antral follicles at the beginning of ovulation stimulation cycle. This paper is a review with the goal of determining the relation between these four parameters in anticipating the response of ovary to ovulation stimulation.
Materials and methods
Searching was conducted in electronic information resources including PubMed, Google Scoler, Science Direct, SID, using english keywords including patient age, FSH, Antral follicels, ovarian volume, in 1996 to 2014 and 8 papers were related.
All studies reported a directed and significant relation between the patient's age and baseline of FSH serum. Three studies reported a direct relation in the stimulation of ovulation by HMG in IVF cycles between ovarian volume and number of antral follicels at the beginning of the cycle. This relation was not present in other treatment protocols. Contradictory result had been reported from antral relation.
The age of patient and baseline of FSH serum in third menstruation day in all protocols of ovulation stimulation, vaginal ultrasound in the evaluation of ovarian volume and number of antral follicels before and after gonadotropins in HMG protocols can anticipate the response of patient to treatment.