Systematic Reviews and Meta Analysis

Ovülasyon İndüksiyonunda Ek Ajanlar

Volume: 69 Number: 3 December 31, 2016
EN TR

Ovülasyon İndüksiyonunda Ek Ajanlar

Abstract

Despite all advancement in ovarian stimulation programmes and laboratory techniques, the success of assisted reproductive techniques remains limited. Today, theprimary stimulating agents adopted as standard are clomiphene citrate and gonadotrophins. In some patients treated with stimulation protocols using those two agents, adequate follicular development cannot be maintained or adequate amount and/or quality of oocytes cannot be achieved. Hence, development of somealternative treatment strategies in assisted reproductive technologies has been needed. Nowadays, those treatment methods are used in anovulatory infertilepatients and poor responders. Some additional agents are used in those patients in order to increase the amount and quality of achieved oocytes while decreasing treatment costs. In this sense, the best known additional agents are metformin, aromatase inhibitors, dehydrepiandrosterone, androgens, growth hormone, corticosteroids, and antioxidants.

Keywords

Aromatase inhibitors, Metformin, Ovulation Induction, Assisted Reproductive Technologies

References

  1. 1. Nestler JE, Jakubowicz DJ, Evans WS, et al. Effects of metformin on spontaneous and clomiphene-induced ovulation in the polycystic ovary syndrome. N Engl J Med 1998; 25; 338: 1876-1880.
  2. 2. Vandermolen DT, Ratts VS, Evans WS, et al. Metformin increases the ovulatory rate and pregnancy rate from clomiphene citrate in patients with polycystic ovary syndrome who are resistant to clomiphene citrate alone. Fertil Steril. 2001 ;75:310-315.
  3. 3. Batukan C, Baysal B. Metformin improves ovulation and pregnancy rates in patients with polycystic ovary syndrome. Arch Gynecol Obstet 2001; 265: 124-127.
  4. 4. Kocak M, Caliskan E, Simsir C, et al. Metformin therapy improves ovulatory rates, cervical scores, and pregnancy rates in clomiphene citrate-resistant women with polycystic ovary syndrome. Fertil Steril. 2002; 77: 101-106.
  5. 5. Sturrock ND, Lannon B, Fay TN. Metformin does not enhance ovulation induction in clomiphene resistant polycystic ovary syndrome in clinical practice. Br J Clin Pharmacol 2002; 53: 469-473.
  6. 6. Moll E, Bossuyt PM, Korevaar JC, et al. Effect of clomifene citrate plus metformin and clomifene citrate plus placebo on induction of ovulation in women with newly diagnosed polycystic ovary syndrome: randomised double blind clinical trial. BMJ 2006; 332: 1485.
  7. 7. Tang T, Lord JM, Norman RJ, et al. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Cochrane Database Syst Rev 2010; 20: CD003053.
  8. 8. Creanga AA, Bradley HM, McCormick C, et al. Use of metformin in polycystic ovary syndrome: a meta-analysis. Obstet Gynecol 2008; 111: 959-968.
  9. 9. De Leo V, la Marca A, Ditto A, et al. Effects of metformin on gonadotropininduced ovulation in women with polycystic ovary syndrome. Fertil Steril 1999; 72: 282-285.
  10. 10. Palomba S, Falbo A, Orio F jr, et al. A randomized controlled trial evaluating metformin pretreatment and co-administration in nonobese insulin-resistant women with polycystic ovary syndrome treated with controlled ovarian hyperstimulation plus timed intercourse or intra-uterine insemination. Hum Reprod 2005; 20: 2879-2886.
APA
Şükür, Y. E., Kahraman, K., & Atabekoğlu, C. S. (2016). Ovülasyon İndüksiyonunda Ek Ajanlar. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 69(3), 217-222. https://izlik.org/JA86AL34GC
AMA
1.Şükür YE, Kahraman K, Atabekoğlu CS. Ovülasyon İndüksiyonunda Ek Ajanlar. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2016;69(3):217-222. https://izlik.org/JA86AL34GC
Chicago
Şükür, Yavuz Emre, Korhan Kahraman, and Cem Somer Atabekoğlu. 2016. “Ovülasyon İndüksiyonunda Ek Ajanlar”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 69 (3): 217-22. https://izlik.org/JA86AL34GC.
EndNote
Şükür YE, Kahraman K, Atabekoğlu CS (December 1, 2016) Ovülasyon İndüksiyonunda Ek Ajanlar. Ankara Üniversitesi Tıp Fakültesi Mecmuası 69 3 217–222.
IEEE
[1]Y. E. Şükür, K. Kahraman, and C. S. Atabekoğlu, “Ovülasyon İndüksiyonunda Ek Ajanlar”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 69, no. 3, pp. 217–222, Dec. 2016, [Online]. Available: https://izlik.org/JA86AL34GC
ISNAD
Şükür, Yavuz Emre - Kahraman, Korhan - Atabekoğlu, Cem Somer. “Ovülasyon İndüksiyonunda Ek Ajanlar”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 69/3 (December 1, 2016): 217-222. https://izlik.org/JA86AL34GC.
JAMA
1.Şükür YE, Kahraman K, Atabekoğlu CS. Ovülasyon İndüksiyonunda Ek Ajanlar. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2016;69:217–222.
MLA
Şükür, Yavuz Emre, et al. “Ovülasyon İndüksiyonunda Ek Ajanlar”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 69, no. 3, Dec. 2016, pp. 217-22, https://izlik.org/JA86AL34GC.
Vancouver
1.Yavuz Emre Şükür, Korhan Kahraman, Cem Somer Atabekoğlu. Ovülasyon İndüksiyonunda Ek Ajanlar. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 2016 Dec. 1;69(3):217-22. Available from: https://izlik.org/JA86AL34GC