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47B - Asymptomatic Polycystic Ultrasound Appearance of the Ovary Is Favourable for IVF Outcome

Against

from Section IX - Hormones and the Environment

Published online by Cambridge University Press:  25 November 2021

By
Lisa Webber
Edited by
Roy Homburg ,
Adam H. Balen  and
Robert F. Casper
Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
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Summary

Asymptomatic polycystic ovaries are common. There is no evidence that the increased antral follicle count that characterises the PCO translates into an increased chance of pregnancy or live birth. However, there is an increased risk of OHSS, a potentially serious complication of IVF. The risk of OHSS can be reduced, especially by freezing all the embryos instead of transferring a fresh embryo. However, this usually incurs extra costs.

Type
Chapter
Information
50 Big Debates in Reproductive Medicine , pp. 247 - 248
Publisher: Cambridge University Press
Print publication year: 2021

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References

Heijnen, EMEW, Eijkemans, MJC, Hughes, EG, et al. A meta-analysis of outcomes of conventional IVF in women with polycystic ovary syndrome. Hum Reprod Update. 2006;12(1):13–21.CrossRefGoogle ScholarPubMed
De Geyter, C, Calhaz-Jorge, C, Kupka, MS, et al. ART in Europe, 2015: results generated from European registries by ESHRE. Hum Reprod Open. 2020;1–17.CrossRefGoogle Scholar
ESHRE Reproductive Endocrinology Guideline Group. Ovarian stimulation for IVF/ICSI: Guideline of the European Society of Human Reproduction and Embryology, 2019.Google Scholar
Teede, H, Misso, M, Costello, M. International evidence-based guideline for the assessment and management of polycystic ovary syndrome. 2018. Monash University on behalf of the NHMR. Available from: monash.edu/medicine/sphpm/mchri/pcos.CrossRefGoogle Scholar

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