Document Detail


Clinical outcomes of ovulation induction with metformin, clomiphene citrate and human menopausal gonadotrophin in polycystic ovary syndrome.
MedLine Citation:
PMID:  20925997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This pilot study evaluated the effects of coadministration of metformin with clomiphene citrate (CC) and human menopausal gonadotrophin (HMG) in women with CC-resistant polycystic ovary syndrome (PCOS). Sixty women with PCOS were randomly assigned to receive 3 months' treatment with metformin or placebo together with CC and HMG. Transvaginal ultrasound was used to monitor follicular development and ovulation was induced by human chorionic gonadotrophin (HCG). The number of dominant follicles, the oestradiol level on the day HCG was given and the amount of HMG required were significantly lower in the metformin group than in the placebo group, whereas the mono-ovulatory rate and pregnancy rate in the third cycle were significantly higher. The cumulative pregnancy rate in the metformin group (43.3%) was higher than in the placebo group (20.0%), but this difference did not reach statistical significance. In conclusion, coadministration of metformin with CC and HMG reduced the amount of HMG required and increased the mono-ovulatory rate and pregnancy rate.
Authors:
J Cheng; J Lv; C Y Li; Y Xue; Z Huang; W Zheng
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of international medical research     Volume:  38     ISSN:  0300-0605     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-10-07     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1250-8     Citation Subset:  IM    
Affiliation:
Department of Gynaecology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clomiphene / pharmacology,  therapeutic use*
Drug Resistance / drug effects
Female
Fertility Agents, Female / therapeutic use*
Humans
Menotropins / pharmacology,  therapeutic use*
Metformin / pharmacology,  therapeutic use*
Ovulation Induction / methods*
Polycystic Ovary Syndrome / drug therapy*
Pregnancy
Pregnancy Outcome
Treatment Outcome
Chemical
Reg. No./Substance:
0/Fertility Agents, Female; 61489-71-2/Menotropins; 657-24-9/Metformin; 911-45-5/Clomiphene

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


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