| The Effects of Ovarian Cysts on the Controlled Ovarian Hyperstimulation Cycles for In Vitro Fertilization and Embryo Transfer Program |
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TY Hwang, SH Kim, CJ Shin, JG Kim, SY Moon, JY Lee, YS Chang |
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Department of Obstetrics and Gynecology, College of Medicine, Seoul National University |
| 난소 낭종이 체외수정시술을 위한 과배란유도 주기에 미치는 영향에 관한 연구 |
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황태영, 김석현, 신창재, 김정구, 문신용, 이진용, 장윤석 |
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서울대학교 의과대학 산부인과학교실 |
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| Abstract |
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To investigate the effects of ovarian cysts on the controlled ovarian hyper-stimulation cycles, 16 patients with 16 paired cycles for IVF-ET were analyzed. These patients had taken both type of cycles, i.e., with cyst(cyst group) and without cyst(control group). Mean diameter of ovarian cysts in cyst group was 18.2mm. There were no significant differences in hormone levels in early follicular phase between two groups. No significant differences were found in total dosage of hMG(IU) administered during the ovarian stimulation $843.8{\pm}123.0$ vs $891.0{\pm}129.8$, serum estradiol level (pg/ml) on the day of hCG administration($1542.8{\pm}1100.6$ vs $1567.5{\pm}1193.0$), the number of aspirated follicles $10.0{\pm}3.4$ vs $11.2{\pm}4.3$ and oocytes $5.3{\pm}3.3$ vs $6.2{\pm}3.1$, the fertilization rate(51.2 % vs 57.2 %) and the cleavage rate(40.5 % vs 52.0 %). Serum estradiol terminal patterns during COH in one group tended to be repeated in the other group. In conclusion, this study suggests that small ovarian cysts do not adversely impact on the controlled ovarian hyperstimulation parameters in IVF - ET program and the presence of small ovarian cyst without concomitant high basal serum estradiol level is not an indication of the cancellation of the controlled ovarian hyperstimulation for IVF-ET. |
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