Document Detail


Basal follicle-stimulating hormone levels are of limited value in predicting ongoing pregnancy rates after in vitro fertilization.
MedLine Citation:
PMID:  10689012     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate whether basal FSH (bFSH; measured on menstrual day 1-4) adds relevant clinical information to the prediction of ongoing pregnancy rates (OPRs) after IVF, once age and diagnostic characteristics have been taken into account.
DESIGN: Retrospective.
SETTING: Academic fertility center.
PATIENT(S): 435 women undergoing their first IVF cycle.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Ongoing pregnancy rate.
RESULT(S): The likelihood ratio of bFSH as a single prognosticator for treatment failure at a cutoff level of 15 IU/L was 3.87. The proportion of patients with such a bFSH level was 5%. Multivariate logistic regression analysis selected age, bFSH level, and infertility diagnosis as relevant predictors of ongoing pregnancy. When compared to a predictive model for OPRs based on age and infertility diagnosis, the inclusion of bFSH into this model helped to identify more patients (22 vs. 1) whose predicted OPR decreased from a low level (5%-12%) towards an extremely low level (<5%).
CONCLUSION(S): An acceptable performance of bFSH as a single test to predict treatment failure is only obtained above a high cutoff level. Thus, the number of patients for whom bFSH provides relevant information is small. The predictive model including bFSH identified significantly more patients with an extremely poor prognosis than did the predictive model without bFSH. However, predictions based solely on age and infertility diagnosis usually were already poor in these patients. Measurement of bFSH adds little in only a few patients and is, therefore, debatable.
Authors:
L F Bancsi; A M Huijs; C T den Ouden; F J Broekmans; C W Looman; M A Blankenstein; E R te Velde
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  73     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-03-23     Completed Date:  2000-03-23     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  552-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fertilization in Vitro / statistics & numerical data*
Follicle Stimulating Hormone / blood*
Gestational Age
Humans
Infertility, Female / therapy
Maternal Age
Predictive Value of Tests
Pregnancy / blood*
Pregnancy Rate*
Prospective Studies
Regression Analysis
Chemical
Reg. No./Substance:
9002-68-0/Follicle Stimulating Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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