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The Poor Responder – New Medical Treatment Poor Responders ...

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12<br />

<strong>New</strong> therapies - <strong>Medical</strong><br />

�� Testosterone<br />

�� Letrozole<br />

�� Luteal estradiol<br />

�� AACEP<br />

�� OCP<br />

�� Recombinant LH<br />

�� Aspirin<br />

�� L-arginine arginine<br />

�� Prolactin Supplementation<br />

�� CAM <strong>–</strong> complementary and alternative medicine<br />

�� Donor oocytes<br />

Androgen <strong>The</strong>rapy<br />

�� Transdermal Testosterone<br />

�� DHEA<br />

�� 2 cell, 2 GT theory <strong>–</strong> androgen substrate<br />

undergoes aromatization to estrogen<br />

�� Direct autocrine/paracrine effect in regulation of<br />

follicular function<br />

�� Low basal testosterone may predict poor IVF<br />

outcome (Frattarelli, JL & Peterson, EH. Effect of androgen levels on IVF IVF<br />

cycles, Fertil Steril 2004, 81, 1713-4) 1713 4)

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