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| Name | Class |
|---|---|
| Hunan Provincial Maternal and Child Health Care Hospital | OTHER |
| Shenyang Jinghua Hospital | INDUSTRY |
| Xinjiang Jiayin Hospital | UNKNOWN |
| The Affiliated Hospital of Inner Mongolia Medical University |
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To compare the difference in cumulative live birth rates within one year between double stimulations protocol and two-cycle antagonist protocol in poor ovarian responders.
The theory of multicyclic development of follicles during the menstrual cycle prompted new approaches to ovarian stimulation such as double stimulation within the same menstrual cycle, in both follicular and luteal phases. The double ovarian stimulation protocol has been proposed to optimize the number of oocytes retrieved within the shortest possible timeframe.In general, the aim of DUOSTIM is to obtain the highest number of oocytes in the shortest time, thus avoiding waste of time, which is crucial for these patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Double Stimulation Protocol | Experimental | Double stimulations were performed during the follicular and luteal phases in the same cycle by rFSH&hmg. |
|
| Antagonist Stimulation Protocol | Active Comparator | The classical antagonist protocol were performed by rFSH,hmg and antagonist. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Double Stimulation Protocol | Procedure | cummulative live birth outcome after two cycles of in virto fertilization using double stimulation protocol, which refers to two cycles of ovarian stimulation in both follicular phase and luteal phase within the same menstrual cycle |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative live birth rate | Live birth is defined as the delivery of any viable infant at 28 weeks or more of gestation after our interventions, and cumulative live birth rate is calculated by dividing the number of women achieving live birth after transfers of all study-specific embryos (up to 3 transfers of single blastocycst within 1 year after randomization), by the total number of women randomized to the specific group. | 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of retrieved oocytes | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | Twenty days after conception, transvaginal ultrasonography will be performed. Clinical pregnancy will be diagnosed with detection of an intrauterine gestational sac. | 36 months |
| Incidence of obstetric complications |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shandong University | Jinan | Shandong | China |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| OTHER |
| Guangdong Second Provincial General Hospital | OTHER |
| The Affiliated Hospital of Qingdao University | OTHER |
| Wuhan Tongji Reproductive Medicine Hospital | UNKNOWN |
| Reproductive & Genetic Hospital of CITIC-Xiangya | OTHER |
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| Antagonist Stimulation Protocol | Procedure | cummulative live birth outcome within no more than two cycles of in virto fertilization using classical antagonist protocol |
|
Number of pregnancies with complications / number of pregnancies.
| 36 months |
| Incidence of perinatal complications | Number of live births with neonatal complications / number of live births. | 36 months |
| Cost-effectiveness analysis | Cost-effectiveness will be evaluated by comparing the two groups in terms of costs and benefits | 36 months |
| Birth weight | Weight of newborns at delivery | 36 months |
| Total amount of Gn used during ovarian stimulation | 24 months |