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Information Journal Paper

Title

COMPARING THE COMBINED EFFECT OF LETROZOLE AND CLOMIPHENE REGIMEN PLUS GONADOTROPINS ON PREGNANCY RATE IN CLOMIPHENE RESISTANT-POLYCYSTIC OVARIAN SYNDROME

Pages

  12-17

Abstract

 Background: Although CLOMIPHENE citrate is the first line in OVULATION INDUCTION in anovulatory infertile women, but some of polycystic ovarian syndrome (PCOS) patients are CLOMIPHENE-resistant. This study was carried out to compare the combined effect of LETROZOLE and CLOMIPHENE with gonadotropins on pregnancy rate in CLOMIPHENE-resistant PCOS patients. Materials and Methods: This clinical trial study was carried out on 120 CLOMIPHENE-resistant PCOS patients. The patients were randomly divided into two groups: group 1 received CLOMIPHENE (100 mg/day) and group 2 received LETROZOLE (5 mg/day) on the 3–7th days of menstrual cycle. Both groups received (150 IU/im) HMG on the 5–8th days of menstrual cycle. On 10-11th days of menstrual cycle, transvaginal sonography was performed to determine endometrial thickness, dominant follicle number and increase HMG dose, if required. HCG at a dose of 5000 IU was administered when at least one mature follicle was observed.  b-HCG level was evaluated 2 weeks after HCG administration. The two groups were compared for mature follicles numbers, endometrial thickness, gonadotropin consumption and pregnancy rate. Chi–square, Kolomogrov–Smirnov, t-test, Levene, Mann-Whitney tests were used to analyze data.Results: Although the pregnancy rate in LETROZOLE group was higher than in the CLOMIPHENE one, the difference was not significant (36.7% vs 33.3%, P=0.702). The mean endometrial thickness in LETROZOLE and CLOMIPHENE group was 7.47 mm and 7.49 mm, respectively (P=0.685). In LETROZOLE and CLOMIPHENE group the mean of dominant follicles numbers was 2.18 and 2.83, respectively (P=0.087) while the gonadotropin level mean in both groups was 6.78 (P=0.941).Conclusion: In CLOMIPHENE resistant PCOS patients, similar to CLOMIPHENE, LETROZOLE in combined regimens with gonadotropin can be effective for the induction of ovulation.

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    APA: Copy

    FOROUZANFARD, F., PEZHMANMANESH, M., MAHDIAN, M., & MOUSAVI, SEYED GHOLAM ABAS. (2010). COMPARING THE COMBINED EFFECT OF LETROZOLE AND CLOMIPHENE REGIMEN PLUS GONADOTROPINS ON PREGNANCY RATE IN CLOMIPHENE RESISTANT-POLYCYSTIC OVARIAN SYNDROME. FEYZ, 14(1 (SERIAL 53)), 12-17. SID. https://sid.ir/paper/40419/en

    Vancouver: Copy

    FOROUZANFARD F., PEZHMANMANESH M., MAHDIAN M., MOUSAVI SEYED GHOLAM ABAS. COMPARING THE COMBINED EFFECT OF LETROZOLE AND CLOMIPHENE REGIMEN PLUS GONADOTROPINS ON PREGNANCY RATE IN CLOMIPHENE RESISTANT-POLYCYSTIC OVARIAN SYNDROME. FEYZ[Internet]. 2010;14(1 (SERIAL 53)):12-17. Available from: https://sid.ir/paper/40419/en

    IEEE: Copy

    F. FOROUZANFARD, M. PEZHMANMANESH, M. MAHDIAN, and SEYED GHOLAM ABAS MOUSAVI, “COMPARING THE COMBINED EFFECT OF LETROZOLE AND CLOMIPHENE REGIMEN PLUS GONADOTROPINS ON PREGNANCY RATE IN CLOMIPHENE RESISTANT-POLYCYSTIC OVARIAN SYNDROME,” FEYZ, vol. 14, no. 1 (SERIAL 53), pp. 12–17, 2010, [Online]. Available: https://sid.ir/paper/40419/en

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