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6B - The Addition of LH/hCG to FSH Improves IVF Outcome

Against

from Section II - IVF Add-ons

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
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Summary

The addition of LH (either as rLH or hMG) to an antagonist COS protocol to improve IVF outcomes is still a matter of debate. Real-world evidence does not support that LH improves the number of mature oocytes retrieved, clinical pregnancy rate, spontaneous miscarriage rate, or number and morphology of blastocysts.

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Jeppesen, JV, Kristensen, SG, Nielsen, ME, et al. LH-receptor gene expression in human granulosa and cumulus cells from antral and preovulatory follicles. J Clin Endocrinol Metab. 2012;97:E1524–31.CrossRefGoogle ScholarPubMed
Mochtar, MH, Danhof, NA, Ayeleke, RO, van der Veen, F, van Wely, M. Recombinant luteinizing hormone (rLH) and recombinant follicle stimulating hormone (rFSH) for ovarian stimulation in IVF/ICSI cycles. In: Cochrane Gynaecology and Fertility Group, ed. Cochrane Database Syst Rev. 2017;18:250105.Google Scholar
van Wely, M, Kwan, I, Burt, AL, et al. Recombinant versus urinary gonadotrophin for ovarian stimulation in assisted reproductive technology cycles. In: van Wely, M, ed. Cochrane Database Syst Rev. 2011;CD005354. John Wiley & Sons: Chichester.Google Scholar
Unpublished data.Google Scholar
Schwarze, JE, Crosby, J, Zegers-Hochschild, F. Addition of neither recombinant nor urinary luteinizing hormone was associated with an improvement in the outcome of autologous in vitro fertilization/intracytoplasmatic sperm injection cycles under regular clinical settings: a multicenter observational analysis. Fertil Steril. 2016;106:15.CrossRefGoogle ScholarPubMed
Unpublished data from my clinic.Google Scholar
Unpublished data from my clinic.Google Scholar
Unpublished data from my clinic.Google Scholar
Unpublished data from my clinic.Google Scholar

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