Coasting and OHSS Coast ga dO SS

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Bristol Centre ForReproductive Medicine• 3850 IVF / ICSI cycles - over 7 years• 547 coasted (14%)• Locally developed protocolNurse-managedClinician led
Methodology• GnRH-a long protocol regime• 1 st scan day 8, then 2 to 3 days later• If ≥ 20 follicles, then E2 checked
Page 1 and 2: Coasting and OHSSMrs Uma GordonBris
Page 4 and 5: Prevention of OHSS• Lower dose of
Page 6 and 7: Prevention of OHSS• Coasting - mo
Page 8 and 9: Coasting - Advantages• Cycle not
Page 10: CoastingNo clear cut criteria-When
Page 13 and 14: Coasting - start time?At BCRM, E2 d
Page 15 and 16: Coasting duration - Pregnancy rates
Page 17 and 18: Coasting challenges --what drop in
Page 19: Bristol Centre ForReproductive Medi
Page 23 and 24: MethodologyCoasting stopped (ie., h
Page 25 and 26: Serum E2 Assay• Competitive immun
Page 27 and 28: Coastingduration(Days)Cycles(n)No.
Page 29 and 30: Coastingduration(Days)Cycles (n)Ong
Page 31 and 32: Change inE2 levels l (HCG -1to day
Page 33 and 34: Change in E2 levelsCycles(%) (n)Ong
Page 35 and 36: Results 3• 6.1% OHSS in coasted c
Page 37 and 38: Conclusions - 2• Coasting results
Page 39 and 40: OHSS - morbidity and mortality• C
Page 41 and 42: Coasting AuditBCRM - Change of prac
Page 43 and 44: Cochrane review• Coasting vs EUFA
Page 45 and 46: Coasting versus EUFA: OHSS
Page 47 and 48: Coasting versus GnRHa: No. of oocyt
Page 49 and 50: Cochrane review• A significant be
Page 52: No room for over response or OHSSin

Coasting and OHSS Coast ga dO SS

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