Abstract
In order to increase the oocyte yield from a single in vitro fertilization (IVF) cycle, controlled ovarian stimulation (COS) protocols were developed. Increased daily doses of follicle-stimulating hormone (FSH) products in conventional COS protocols brought concerns about their association with ovarian hyperstimulation syndrome, multiple pregnancies due to the transfer of increased number of embryos to achieve pregnancy, increased embryonic aneuploidy, and inferior IVF outcomes. This leads to revisiting milder stimulation protocols for IVF. The International Society for Mild Approaches in Assisted Reproduction (ISMAAR) brought the definition for mild stimulation. Gentle approaches to IVF including natural cycle and mild and minimal stimulation protocols found acceptance especially in women with expected poor ovarian response, mostly due to diminished ovarian reserve and advanced reproductive age.
Original language | English (US) |
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Title of host publication | Diminished Ovarian Reserve and Assisted Reproductive Technologies |
Subtitle of host publication | Current Research and Clinical Management |
Publisher | Springer International Publishing |
Pages | 141-149 |
Number of pages | 9 |
ISBN (Electronic) | 9783030232351 |
ISBN (Print) | 9783030232344 |
DOIs | |
State | Published - Jan 1 2019 |
Keywords
- Advanced reproductive age
- Assisted reproductive technology
- ISMAAR
- IVF
- Mild stimulation
- Poor ovarian response
ASJC Scopus subject areas
- General Health Professions
- General Medicine