We hypothesize that the combination of natural cycle IVF or low dose gonadotropin injection combined with In Vitro Maturation (IVM) (Natural IVF/IVM) is a viable option for a selected population of infertility patients who cannot tolerate exogenous gonadotropins or are at risk of ovarian hyperstimulation syndrome.
Natural IVF/IVM may be an attractive treatment alternative to conventional controlled ovarian hyperstimulation (COH)/IVF treatment for infertile women in particular for a select group. Natural IVF/IVM offers several advantages over conventional COH protocols for IVF including: 1. Elimination of the need for gonadotropin ovarian stimulation 2. Elimination of risk of developing OHSS 3. Simplification of treatment, eliminating the need for frequent blood tests and ultrasound monitoring 4. Reduced cost of treatment 5. Avoiding potential side effects of gonadotropins, including weight gain, bloating, breast tenderness, nausea, mood swings 6. Eliminates concerns about the potential risk of malignancy that may be associated with multiple cycles of ovarian stimulation in a predisposed population. This pilot study will be conducted to assess the clinical efficacy of natural IVF/IVM
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
The Center for Human Reproduction
Manhasset, New York, United States
Pregnancy
Establishment of a successful pregnancy
Time frame: 1 month
Implantation
fetal hearts per embryo replaced
Time frame: 1 month
live birth rates
Time frame: 9 months
Multiple pregnancy and miscarriage rates
Time frame: 9 months
Neonatal outcomes
Time frame: 9 months
Endocrine parameters (FSH, LH, estradiol [E2], progesterone [P], anti-Mullerian hormone [AMH])
Time frame: 2 weeks
Number and size distribution of follicles (≥11 mm, ≥15 mm, and ≥17 mm) as documented by ultrasonography during treatment
Time frame: 2 weeks
Number and quality of oocytes retrieved
Time frame: 1 day
Oocyte maturation rate
Time frame: 1 week
Number of fertilized oocytes
Time frame: 2 days
Fertilization rate
Time frame: 1 day
Number and quality of embryos generated
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Time frame: 1 week
Endometrial thickness
Time frame: 2 weeks