Is the occurrence of the empty follicle syndrome a predictor that a subsequent stimulated cycle will be an unfavourable one?

Is the occurrence of the empty follicle syndrome a predictor that a subsequent stimulated cycle will be an unfavourable one?

Several hypotheses have been advanced to explain empty follicle syndrome (EFS) but it remains a controversial topic. This paper reports experience with three IVF cycles in which no oocytes were collected. In all cases, an additional IVF cycle was performed. The ovarian stimulation protocol, ultrasou...

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Bibliographic Details
Published in:Reproductive biomedicine online Vol. 10; no. 5; pp. 571 - 574
Main Authors: Lorusso, Filomenamila, Depalo, Raffaella, Tsadilas, Spiros, Caradonna, Francesco, Di Gilio, Annarosa, Capotorto, Maria Teresa, Vacca, Margherita, Nappi, Luigi, Selvaggi, Luigi
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01-05-2005
Subjects:
Adult
empty follicle syndrome
Female
human chorionic gonadotrophin
Humans
IVF
Oocytes - drug effects
Oocytes - physiology
Ovarian Follicle - pathology
Ovulation Induction - methods
Predictive Value of Tests
recurrence
Treatment Failure
Treatment Outcome
recurrence
IVF
human chorionic gonadotrophin
empty follicle syndrome
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Summary:Several hypotheses have been advanced to explain empty follicle syndrome (EFS) but it remains a controversial topic. This paper reports experience with three IVF cycles in which no oocytes were collected. In all cases, an additional IVF cycle was performed. The ovarian stimulation protocol, ultrasound and hormonal surveillance methods, human chorionic gonadotrophin timing and oocyte retrieval technique were similar in all patients. The assessment of additional cycles demonstrated a poor response in terms of oocyte quality, since the number of mature oocytes was low despite the high number of oocytes collected. Thus, the data suggest that in these patients, EFS should be considered as a borderline form of poor response to ovarian stimulation. If this is confirmed, EFS should be a recurrent event and an empty cycle could be a good predictor that a subsequent stimulated cycle will be an unfavourable.
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ISSN:1472-6483
1472-6491
DOI:10.1016/S1472-6483(10)61662-8