期刊
FERTILITY AND STERILITY
卷 90, 期 4, 页码 1149-1154出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.fertnstert.2007.07.1385
关键词
metformin; polycystic ovary syndrome; in vitro maturation; pregnancy
Objective: To determine the effect of metformin pretreatment on in vitro maturation (IVM) in the patients with clomiphene citrate-resistant polycystic ovary syndrome. Design: Prospective randomized study. Setting: University affiliated hospital. Patient(s): Fifty-six women with clomiphene citrate-resistant polycystic ovary syndrome underwent 70 cycles of IVM treatment. Intervention(s): Metformin was administered at a dose of 500 mg twice per day for 12 weeks before IVM treatment. Main Outcome Measure(s): The number of immature oocytes, oocyte maturation, fertilization, cleavage, high-quality embryo, and clinical pregnancy rates. Result(s): A significantly higher high-quality embryo rate (37.8%) was obtained in the metformin-treated group compared with the control group (24.3%). Accordingly, the clinical pregnancy and implantation rates were significantly higher in the metformin-treated group (38.2% and 15.3%) than the control group (16.7% and 6.2%). Conclusion(s): Pretreatment with metformin improves IVM outcome in terms of embryo quality and clinical pregnancy rate as well as implantation rate.
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