Conservative management versus aspiration of functional ovarian cysts before ovarian stimulation for assisted reproduction

To compare the efficiency of transvaginal ultrasound-guided functional ovarian cyst aspiration, with conservative management, in the outcome of patients undergoing assisted reproductive technique (ART) (in vitro fertilization or intracytoplasmic sperm injection). These cysts were identified before o...

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Bibliographic Details
Published in:	Journal of assisted reproduction and genetics Vol. 17; no. 5; pp. 260 - 263
Main Authors:	FISZBAJN, G. E, LIPOWICZ, R. G, ELBERGER, L, GRABIA, A, PAPIER, S. D, BRUGO OLMEDO, S. P, CHILLIK, C. F
Format:	Journal Article
Language:	English
Published:	New York, NY Kluwer/Plenum 01-05-2000 Springer Nature B.V Kluwer Academic Publishers-Plenum Publishers
Subjects:	Adult Biological and medical sciences Chorionic Gonadotropin - blood Estradiol - blood Female Female genital diseases Fertilization in Vitro - methods Gonadotropin-Releasing Hormone - adverse effects Gonadotropin-Releasing Hormone - analogs & derivatives Gonadotropin-Releasing Hormone - pharmacology Gynecology. Andrology. Obstetrics Humans Luteinizing Hormone - blood Medical sciences Oocytes - drug effects Oocytes - metabolism Ovarian Cysts - surgery Ovarian Cysts - therapy Ovarian Follicle - drug effects Ovarian Follicle - pathology Ovarian Follicle - surgery Ovary - drug effects Ovary - pathology Ovary - surgery Ovulation Induction Sperm Injections, Intracytoplasmic Tumors Human Agonist Aspiration Intracytoplasmic sperm injection Assisted procreation Gonadotropin RH Stimulation Female genital diseases Hypothalamic hormone In vitro fertilization embryo transfer Ovarian diseases Ovary Female genital system Cyst Female Benign neoplasm Hormone releasing factor
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Summary:	To compare the efficiency of transvaginal ultrasound-guided functional ovarian cyst aspiration, with conservative management, in the outcome of patients undergoing assisted reproductive technique (ART) (in vitro fertilization or intracytoplasmic sperm injection). These cysts were identified before ovarian stimulation begun and after administration of a midluteal GnRH agonist. Fifty nine patients undergoing ART from January 1, 1997 to February 28, 1999, who developed functional ovarian cysts were included. Aspirations of these cysts (n = 14) versus conservative management (observation) (n = 45) were compared. Total number of ovarian follicles developed, number of oocytes retrieved, estradiol levels on the day of human chorionic gonadotropin, fertilization rate, number of good quality embryos transferred, implantation, and clinical pregnancy rate per cycle were evaluated. No statistical differences were observed between the two groups in any of the selected parameters. Cyst aspiration and conservative management showed similar implantation and pregnancy rates, in patients who develop functional ovarian cysts after pituitary down-regulation following luteal phase gonadotropin-releasing hormone agonist administration. Prospective studies are needed to confirm this trend.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1058-0468 1573-7330
DOI:	10.1023/a:1009406315729