{"id":8840,"date":"2025-04-05T14:01:02","date_gmt":"2025-04-05T04:01:02","guid":{"rendered":"https:\/\/www.drseragyoussif.com.au\/?page_id=8840"},"modified":"2025-04-05T14:50:39","modified_gmt":"2025-04-05T04:50:39","slug":"adjuvants-in-ovarian-stimulation-for-poor-responders-undergoing-ivf","status":"publish","type":"page","link":"https:\/\/www.drseragyoussif.com.au\/?page_id=8840","title":{"rendered":"Adjuvant treatment strategies in ovarian stimulation for poor responders undergoing IVF"},"content":{"rendered":"<div class=\"brz-root__container brz-reset-all brz brz-root__container-page\">\n<section id=\"cfe654043b8aae853ca7_lcrnmmyberhsrogyhazjramuyyuvtgndardu\" class=\"brz-section brz-css-1we6aso\">\n<div class=\"brz-section__content brz-section--boxed brz-css-14kudji brz-css-jz0x6u\" data-brz-custom-id=\"fefghiuzdobovsbxytcsilcezrzhjbxzqepb\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-image\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-i2dkqz\">\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-1cq918s\" data-brz-custom-id=\"indocjqefdvgknyaukmztcsaffvelswggttn\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_6 brz-ls-lg-m_1 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-20 brz-ft-google brz-ff-comfortaa brz-tp-lg-empty brz-lh-xs-1_4 brz-ls-xs-m_1 brz-fw-xs-400 brz-fss-xs-px brz-fs-xs-30 brz-tp-xs-empty brz-text-lg-center brz-css-m4Hy5\" data-generated-css=\"brz-css-rFdvM\" data-uniq-id=\"mLccE\"><span class=\"brz-cp-color2 brz-span\" style=\"\"><strong>Adjuvant Treatment Strategies in Ovarian Stimulation <\/strong><\/span><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_6 brz-ls-lg-m_1 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-20 brz-ft-google brz-ff-comfortaa brz-tp-lg-empty brz-lh-xs-1_4 brz-ls-xs-m_1 brz-fw-xs-400 brz-fss-xs-px brz-fs-xs-30 brz-tp-xs-empty brz-text-lg-center brz-css-pDXYP\" data-generated-css=\"brz-css-apY5p\" data-uniq-id=\"lOdYQ\"><a class=\"brz-cp-color2 link--upload\" href=\"https:\/\/www.drseragyoussif.com.au\/wp-content\/uploads\/2025\/04\/Adjuvant-treatment-strategies-in-ovarian-stimulation-for-poor-responders-undergoing-IVF.docx\" data-brz-link-type=\"upload\"><strong>for Poor Responders Undergoing IVF<\/strong><\/a><span class=\"brz-cp-color2\"> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-line brz-line-default brz-css-15ol550\" data-brz-custom-id=\"fceycromjwvyprfqpckiwifkxywlymnrxhco\">\n<hr class=\"brz-hr\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"bd45b4a1e4a9ac729101_qrsu0C0uLOcB\" class=\"brz-section brz-css-1we6aso\">\n<div class=\"brz-section__content brz-section--boxed brz-css-14kudji brz-css-cc7va5\" data-brz-custom-id=\"rWkKYOfzdpXI\">\n<div class=\"brz-container brz-css-i2dkqz brz-css-1j1w14p\">\n<div class=\"brz-row__container brz-css-8li71a\" data-brz-custom-id=\"dMXTAaef_nwf\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-row brz-css-wz56ni brz-css-1rhsrgt\">\n<div class=\"brz-columns brz-css-faql41 brz-css-az320j\" data-brz-custom-id=\"d0Tzdjwq2kBV\">\n<div class=\"brz-column__items brz-css-pd8snd brz-css-wm5t51\">\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-1cq918s\" data-brz-custom-id=\"nDSOsXj4NX07\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-vHhhY\" data-generated-css=\"brz-css-nYQis\" data-uniq-id=\"uDiPQ\"><strong> Adjuvant treatment strategies in ovarian stimulation for poor responders undergoing IVF: <\/strong><\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-g9EQ_\" data-generated-css=\"brz-css-m1UlV\" data-uniq-id=\"xAPv7\"><strong> In a systematic review and network meta-analysis (2020)<\/strong><\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-ujPkT\" data-generated-css=\"brz-css-vFrNJ\" data-uniq-id=\"zX_sc\"><strong>&nbsp;<\/strong><\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-bVkaP\" data-generated-css=\"brz-css-cvbUp\" data-uniq-id=\"gOHYD\"> Despite great advances in assisted reproductive technology, poor ovarian response (POR) is still considered as one of the  most challenging tasks in reproductive medicine.<\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-cbTFj\" data-generated-css=\"brz-css-cmjoW\" data-uniq-id=\"a_Bdy\"><\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-hUl9N\" data-generated-css=\"brz-css-kLVoX\" data-uniq-id=\"nrkFi\"><strong>   OUTCOMES<\/strong><\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-sICEc\" data-generated-css=\"brz-css-hngE1\" data-uniq-id=\"jtLyu\">    Compared with controls, <\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-alCnD\" data-generated-css=\"brz-css-hngE1\" data-uniq-id=\"jtLyu\">\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-qOao5\" data-generated-css=\"brz-css-mG5Iu\" data-uniq-id=\"fbjdx\">\u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;DHEA and CoQ10 treatments resulted in a significantly higher chance of clinical pregnancy. <\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-yuH5k\" data-generated-css=\"brz-css-xrww8\" data-uniq-id=\"gR0NM\">\u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;HCG, oestradiol and GH treatments had the highest number of oocytes retrieved.<\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-iX7KQ\" data-generated-css=\"brz-css-d4xLX\" data-uniq-id=\"wEUI0\">\u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Testosterone and GH treatment led to the highest number of embryos transferred.<\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-aSQSj\" data-generated-css=\"brz-css-am9vJ\" data-uniq-id=\"n7Tv1\">\u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;GH resulted in the highest oestradiol level on the HCG day.<\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-m3R2T\" data-generated-css=\"brz-css-zheaJ\" data-uniq-id=\"qC8x4\">\u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Clomiphene citrate, letrozole and GH groups used the lowest dosages of gonadotrophins for ovarian stimulation. <\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-at_WL\" data-generated-css=\"brz-css-xKVj1\" data-uniq-id=\"u3HeX\">\u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;CoQ10 led to the lowest global cancelation.<\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-kcUOe\" data-generated-css=\"brz-css-joAjh\" data-uniq-id=\"khz8W\"><strong>    <\/strong><\/p>\n<p data-generated-css=\"brz-css-kHfXU\" data-uniq-id=\"lZmHb\" class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-cF4HG\"><strong>     WIDER IMPLICATIONS<\/strong><\/p>\n<p class=\"brz-text-xs-center brz-tp-lg-empty brz-ff-nunito brz-ft-google brz-fs-lg-20 brz-fss-lg-px brz-fw-lg-700 brz-ls-lg-m_0_5 brz-lh-lg-1_6 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-dRxeK\" data-generated-css=\"brz-css-tDzUq\" data-uniq-id=\"rmCLk\"> For patients with POR, controlled ovarian stimulation protocols using adjuvant treatment with DHEA, CoQ10 and GH       showed better clinical outcomes in terms of achieving pregnancy, and a lower dosage of gonadotrophin required for  ovulation induction. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-1cq918s\" data-brz-custom-id=\"pXCdjvn_6zxj\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-text-xs-center brz-tp-lg-paragraph brz-css-y29T2\" data-uniq-id=\"bcUKU\" data-generated-css=\"brz-css-r8h5c\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-1cq918s\" data-brz-custom-id=\"t8MInl8s73Cx\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-text-xs-center brz-tp-lg-paragraph brz-css-jaj98\" data-uniq-id=\"eN48p\" data-generated-css=\"brz-css-nw6CH\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"06230a766d10b3a3a8ab_eSZtc2ucZ2xP\" class=\"brz-section brz-css-1we6aso\">\n<div class=\"brz-section__content brz-section--boxed brz-css-14kudji brz-css-18ubjco\" data-brz-custom-id=\"zfrkqqw2GCQo\">\n<div class=\"brz-container brz-css-i2dkqz brz-css-1mh7q11\"><\/div>\n<\/div>\n<\/section>\n<\/div>\n<p>    <!-- version:1743828639 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adjuvant Treatment Strategies in Ovarian Stimulation for Poor Responders Undergoing IVF Adjuvant treatment strategies in ovarian stimulation for poor responders undergoing IVF: In a systematic review and network meta-analysis (2020) &nbsp; Despite great advances in assisted reproductive technology, poor ovarian response (POR) is still considered as one of the most challenging tasks in reproductive medicine.&hellip; <a class=\"more-link\" href=\"https:\/\/www.drseragyoussif.com.au\/?page_id=8840\">Continue reading <span class=\"screen-reader-text\">Adjuvant treatment strategies in ovarian stimulation for poor responders undergoing IVF<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"footnotes":""},"class_list":["post-8840","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages\/8840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8840"}],"version-history":[{"count":20,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages\/8840\/revisions"}],"predecessor-version":[{"id":8883,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages\/8840\/revisions\/8883"}],"wp:attachment":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}