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. 2016 Oct-Dec;20(4):246–250. doi: 10.5935/1518-0557.20160047

Table 1.

Articles on High Responders Patients

Article N Patients Groups Luteal Support Statistically significant results (p<0.05)
Shapiro B. et al. 2011. USA
Retrospective
cohort study
273 High
Responders
G1) Dual Trigger, G2)
Agonist only; G3)
Agonist only +
intensive luteal support
Agonist: Leuprolide
acetate. 4mg
hCG: 20UI/Kg ( 1000-
2500UI)
E2, 0,2mg/72h + E2 6mg/d +
P4, 100mg /d, IM + P4,
800mg/d, VV, beginning 2-5
days after retrieval. Intensive
luteal support: beginning
immediately after retrieval.
G1: < number of Retrieved
Oocytes (20.4±6.2 vs.
27.1±11.2 vs. 25.4±10.3);
> Implantation rate (%) (48.8
vs. 20.6 vs. 37.8); > Pregnancy
rate (%) (75.3 vs. 60.4 vs. 15);
> ongoing pregnancy rate (%)
(57.7 vs. 25.3 vs. 50).
O'Neill K.E. et al. 2016,
USA
Retrospective
cohort study
174 High
Responders
G1) GnRH agonist: G2) GnRH
agonist + hCG
Agonist: leuprolide acetate. 4mg
hCG: 1000UI
It started on the day
after oocyte retrieval:
daily IM, 50 mg
progesterone 50 mg,
IM/day + three 0. 1mg
transdermal patches of
estradiol, daily
G2: > % oocyte maturity
(70% vs. 82%. <%
oocytes retrieved (0% vs
3%), > % OHSS (6% vs
0%) and severe OHSS
(4% vs. %)
Jung Y.H. et al. 2014. Korea
Prospective
cohort study
26 High
responders
G1) GnRH agonist: G2) GnRH
agonist + hCG 1000IU; G3) GnRH
agonist + hCG 20001U.
Progesterone
(dose: is not
described)
G1: < number of
retrieved oocytes
(4.7±1.5 vs. 10.0±3.7 vs.
20.2±6.8); < pregnancy
rate (%) (14,3 vs. 75 vs.
70)
Griffin D. et al. 2012. USA
Rctrospcctivc
cohort study
102 High
Responders
G1) Dual Trigger; G2) GnRHa alone.
Agonist: Leuprolide acetate. 1mg
hCG: 1000IU
P4, 50mg/d, IM + E2,
transdermal, 0,3mg/2d
G1 : < number of embryo
frozen (4.3±4.7 vs.
3.6±3.1 ): < Implantation
rate (%) (22.1 vs. 41.9);
< Pregnancy rate (%)
(36.8 vs. 58.8): < live
birth rate (%) (30.9 vs.
52.9)
Sherhahn R. 2015. USA
Retrospective
cohort study
135 Highre
sponders
G1)GnRG Agonist; G2) Dual
Trigger. hCG: 1500-2000IU.
Agonist: Lupron.
P4. IM + E2 Oral
or transdcrmal
No statistically significant
results.