Embryo Banking with Mild Ovarian Stimulation for IVF: An Alternative Strategy for Poor Prognosis Patients

Management of Poor Ovarian Reserve (POR) in in vitro fertilization remains a difficult challenge. The purpose of this retrospective cohort study was to compare the effectiveness of embryo banking strategy over a cohort of several mild stimulation cycles (Embryo Banking Strategy for Poor Prognosis/Em...

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Published in:Journal of reproduction & infertility 2020-07, Vol.21 (3), p.176-182
Main Authors: Sini, Ivan, Polim, Arie A, Handayani, Nining, Pratiwi, Adinda, Thuffi, Rosalina, Yusup, Nuraeni, Boediono, Arief
Format: Article
Language:English
Subjects:
Banking
Birth rate
Chi-square test
Clinical outcomes
Cost analysis
Drug dosages
Embryos
In vitro fertilization
Miscarriage
Original
Ovaries
Patients
Pregnancy
Prognosis
Statistical analysis
Statistical tests
Stimulation
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container_issue 3
container_start_page 176
container_title Journal of reproduction & infertility
container_volume 21
creator Sini, Ivan
Polim, Arie A
Handayani, Nining
Pratiwi, Adinda
Thuffi, Rosalina
Yusup, Nuraeni
Boediono, Arief
description Management of Poor Ovarian Reserve (POR) in in vitro fertilization remains a difficult challenge. The purpose of this retrospective cohort study was to compare the effectiveness of embryo banking strategy over a cohort of several mild stimulation cycles (Embryo Banking Strategy for Poor Prognosis/Embargo) to conventional full-dose antagonist protocol for IVF. Subjects identified as having poor ovarian response (POR) based on the Bologna criteria were recruited. In total, there were 113 subjects included in the analysis. Fifty-three subjects underwent embryo banking procedure (Embargo) protocol, and sixty subjects underwent the conventional full-dose antagonist protocol for IVF. The Chi-square test was used to compare the clinical pregnancy rate, miscarriage rate as well as live birth rate, while the Mann-Whitney U test was utilized to analyze the cost per clinical pregnancy between the two groups. A p
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The purpose of this retrospective cohort study was to compare the effectiveness of embryo banking strategy over a cohort of several mild stimulation cycles (Embryo Banking Strategy for Poor Prognosis/Embargo) to conventional full-dose antagonist protocol for IVF. Subjects identified as having poor ovarian response (POR) based on the Bologna criteria were recruited. In total, there were 113 subjects included in the analysis. Fifty-three subjects underwent embryo banking procedure (Embargo) protocol, and sixty subjects underwent the conventional full-dose antagonist protocol for IVF. The Chi-square test was used to compare the clinical pregnancy rate, miscarriage rate as well as live birth rate, while the Mann-Whitney U test was utilized to analyze the cost per clinical pregnancy between the two groups. A p&lt;0.05 was considered statistically significant. The two studied groups showed similar outcomes regarding clinical pregnancy rate, miscarriage rate, as well as live birth rate (p=0.966, p=0.310, and p= 0.469, respectively). Cost analysis of subjects who underwent mild ovarian stimulation followed by Embargo revealed the high cost of the protocol compared to conventional full-dose antagonist protocol ($10.507±6.181 . $9.533±2.530, p=0.002). The clinical outcomes of both protocols were comparable. Embargo procedure was not efficient in improving the overall clinical outcomes in patients who were expected poor ovarian responders as the protocol costed more comparing with conventional full-dose antagonist protocol. 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subjects Banking
Birth rate
Chi-square test
Clinical outcomes
Cost analysis
Drug dosages
Embryos
In vitro fertilization
Miscarriage
Original
Ovaries
Patients
Pregnancy
Prognosis
Statistical analysis
Statistical tests
Stimulation
title Embryo Banking with Mild Ovarian Stimulation for IVF: An Alternative Strategy for Poor Prognosis Patients
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