A novel method of ovarian stimulation for in vitro fertilization: Bromocriptine-rebound method

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Abstract

Objective: To examine whether a new method of ovarian stimulation, bromocriptine-rebound method, improves IVF outcomes compared with the conventional long protocol of GnRH agonist and hMG regimen. Design: A prospective clinical trial. Setting: In vitro fertilization program at a university hospital. Patients: Endocrine-normal ovulatory women less than 40 years of age, with normal male partners and previous failed IVF-ET using long protocol. Interventions: Patients were assigned to either bromocriptine- rebound method (group 1) or long protocol (group 2). The bromocriptine- rebound method was the same as the long protocol, except that bromocriptine was administered daily from day 4 of the preceding cycle until 7 days before hMG stimulation. Main Outcome Measures: The number of cleaved and morphologically superior embryos, pregnancy rate per oocyte pick-up, and serum PRL concentrations during administrations of hMG. Results: Significantly more embryos were cleaved and had superior morphology in group 1 than group 2. Clinical and ongoing pregnancy rates per oocyte pick-up were significantly higher in group 1 (42% and 38%, respectively) than group 2 (24% and 21%, respectively). The mean PRL concentration was significantly higher in the group 1 than group 2. A significant correlation between the number of superior embryos and PRL concentrations was observed in group 1, but not in group 2. Conclusion: The bromocriptine-rebound method enhanced embryonic development, resulting in an increased pregnancy rate compared with the long protocol.

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Jinno, M., Yoshimura, Y., Ubukata, Y., & Nakamura, Y. (1996). A novel method of ovarian stimulation for in vitro fertilization: Bromocriptine-rebound method. Fertility and Sterility, 66(2), 271–274. https://doi.org/10.1016/S0015-0282(16)58452-0

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