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

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32<br />

�� No advantage for letrozole/antagonist protocol<br />

�� Increased follicular fluid androgens may have<br />

negative effect on oocyte quality<br />

Frattarelli, J et al, Fertility sterility 2007<br />

�� Retrospective paired study of 60 women, treated with<br />

traditional protocol and luteal estradiol protocol in<br />

consecutive cycles<br />

�� 44 women traditional first, 16 women luteal estradiol first<br />

�� Same protocol both cycles <strong>–</strong> microdose flare or GnRH<br />

antagonist PLUS estradiol<br />

�� fresh IVF cycles only<br />

�� Pregnancy outcome rates not indicative as no women<br />

became pregnant in first cycle<br />

�� Main outcome measure <strong>–</strong> number of embryos with >7<br />

cells on day 3

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