To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This chapter describes the strategies of monitoring and selecting ovarian stimulation protocols, all aiming at optimizing in vitro fertilization (IVF) outcomes. The aggregate of the history, physical exam, antral follicle count (AFC) and hormonal assays predicts a good or poor responder and should be the basis of designing an initial IVF protocol. Once an individual is deemed a good responder, the focus of stimulation is judicious administration of an initial gonadotropin dose to mitigate the risk of ovarian hyperstimulation syndrome (OHSS). Gonadotropin-releasing hormone (GnRH) antagonist protocols have been increasingly applied to good responders due to their added advantage of diminishing the risk of OHSS. The timing of human chorionic gonadotropin (hCG) injection should be individualized based on several factors, including follicle diameter, serum estradiol (E2) level, prior cycle response, and embryo quality within the context of the particular controlled ovarian hyperstimulation (COH) protocol.
Email your librarian or administrator to recommend adding this to your organisation's collection.