Is There A Role For Mechanical Stimulation In Ovarian Follicular Activation?
Is There A Role For Mechanical Stimulation In Ovarian Follicular Activation? A Randomized Control Trial.
ART Fertility Clinics LLC
70 participants
Jun 2, 2021
OBSERVATIONAL
Conditions
Summary
Premature ovarian failure (POI) is a loss of normal function before age 40, leading to infertility and hypoestrogenism. About 1% of women younger than 40 years old and 0.1% before 30 are affected. Most patients already had impaired or complete loss of fecundity when diagnosed. Hence, the treatment of POI is particularly tough. Currently, no optimal regimen exists to ameliorate ovarian function.
Eligibility
Inclusion Criteria11
- Signed and dated informed consent
- Women 40 years of age and younger with documented primary ovarian insufficiency (12).
- Normal Karyotype
- BMI \</= 35 kg/m2
- Oligo/amenorrhea for at least 4 months
- FSH \> 25 IU/mL
- AMH \</= 0,1 ng/ml
- No evidence of follicles \> 4mm
- Must have two ovaries of approximately equal volume.
- Willingness to undergo further fertility treatment, including IVF if there is evidence of response
- A transvaginal scan including Doppler for arteria ovarica will be performed previously to the surgical procedure.
Exclusion Criteria9
- Premature ovarian failure due to a genetic origin, such as Turner's Syndrome or chromosomal abnormality.
- Oncological diseases (specially, skeletal system and blood).
- Autoimmune diseases, for example, lupus erythematosus, etc.
- Previous treatments including radiotherapy or chemotherapy.
- Other conditions not suitable for surgical procedures and/or anesthesia.
- Anticoagulant or antiaggregant treatment.
- Acute and chronic infectious diseases.
- Active substance abuse or dependence.
- Major Mental health disorder.
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Interventions
Egg collection
AMH (ng/ml), FSH (IU/mL), E2(pg/mL), P4(ng/mL), LH (IU/mL)
Doppler of arteria ovarica. Resistance index
Locations(1)
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NCT04390308