Table 1.
Factors determining individual patients' response to ovarian stimulation | Treatments used in ovarian stimulation protocols | Protocol variations |
---|---|---|
Demographics and anthropometrics (e.g., age, BMI and race) | Gonadotrophins: r-FSH/LH/hCG u-FSH/LH/hCG |
GnRH agonist protocol (long, short and micro flare) |
Genetic profile | GnRH analogues: Agonists Antagonists |
GnRH antagonist protocol (standard, mild and modified natural) |
Health status | Steroid hormones: Progesterone Oestradiol Testosterone DHEA |
Agonist-antagonist protocol |
Cause of subfertility | Other treatments: Aromatase inhibitors Growth hormone Clomiphene citrate |
Natural cycles |
Duration of subfertility | ||
Nutrition |
BMI = body mass index; COS = controlled ovarian stimulation; DHEA = dehydroepiandrosterone; GnRH = gonadotrophin releasing hormone; hCG = human chronic gonadotrophin; LH = luteinising hormone; r-FSH = recombinant follicle-stimulating hormone; u-FSH = urinary follicle-stimulating hormone.