Human Reproduction, Vol 13, 531-534, Copyright © 1998 by Oxford University Press
I Noci, R Biagiotti, M Maggi, F Ricci, A Cinotti and G Scarselli
The aim of the present work was to evaluate whether low day 3 luteinizing
hormone (LH) values in the presence of normal follicle stimulating hormone
(FSH) are predictive of poor response to ovarian stimulation. Two groups of
women undergoing ovarian stimulation and differing only in the day 3 LH
concentration (<3 mIU/ml, study group, n=30; >3 mIU/ml, control
group, n=45) were retrospectively analysed. Study group patients developed
a lower oestradiol peak (703+/-388 versus 955+/-400 ng/ml; P = 0.005) and a
lower number of follicles >15 mm diameter at the time of human chorionic
gonadotrophin (HCG) administration (2.6+/-1.3 versus 3.6+/-1.8; P=0.004)
than the control group. Conversely, a similar ratio of oestradiol:
follicles >15 mm diameter was observed (256+/-118 versus 269+/-93;
P=0.563). The number of follicles >10 mm at the time of HCG
administration appeared to be lower in the study group, but this difference
was not statistically significant (6+/-3.9 versus 7.8+/-4.3). Our data
indicate that day 3 LH values <3 mIU/ml are predictive of poor response
to ovarian stimulation.
ARTICLES
Low day 3 luteinizing hormone values are predictive of reduced response to ovarian stimulation
Department of Obstetrics and Gynaecology, University of Florence, Italy.
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