Undetected ovulation in in vitro fertilization-embryo transfer patients

A retrospective evaluation was done of 102 consecutive in vitro fertilization-embryo transfer (TVF-ET) treatment cycles that culminated in surgical intervention for oocyte pickup. In 35% of these patients, a disparity was noted in the number of mature follicles present on the day of human chorionic...

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Published inFertility and sterility Vol. 46; no. 5; pp. 892 - 896
Main Authors Wolf, Don P., Ochs, Denise, Nader, Shahla, Berkowitz, Albert S.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.1986
Elsevier Science
Subjects
Biological and medical sciences
Birth control
Embryo Transfer - methods
Female
Fertilization in Vitro - methods
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Ovulation
Sterility. Assisted procreation
Human
In vitro fertilization embryo transfer
Treatment
Gynecology
Diagnostic
Female sterility
Woman
Ovulation
Failure
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Summary:A retrospective evaluation was done of 102 consecutive in vitro fertilization-embryo transfer (TVF-ET) treatment cycles that culminated in surgical intervention for oocyte pickup. In 35% of these patients, a disparity was noted in the number of mature follicles present on the day of human chorionic gonadotropin administration, compared with the day of surgery. This suggests the occurrence of undetected ovulation. An endogenous luteinizing hormone (LH) surge was detected in 14 of these patients. Another cohort showed evidence of early luteinization without a detected endogenous LH surge. Finally, a group without early luteinization was defined. Possible explanations for these outcomes and the implications for success of IVF-ET are discussed.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0015-0282
1556-5653
DOI:10.1016/S0015-0282(16)49830-4