Agonist trigger: what is the best approach? Agonist trigger with aggressive luteal support

作者：Engmann Lawrence^*; Benadiva Claudio

来源：Fertility and Sterility, 2012, 97(3): 531-533.

DOI：10.1016/j.fertnstert.2011.12.020

• GnRHa trigger
• dual GnRHa trigger
• OHSS
• luteal phase support
• low dose hCG supplementation

Although gonadotropin-releasing hormone agonist (GnRHa) trigger is effective in the prevention of ovarian hyperstimulation syndrome, lower conception rates have been reported. Intensive luteal phase support is an effective approach to improve implantation rates in women with peak E-2 levels %26gt;= 4,000 pg/mL. However, patients with peak E-2 levels %26lt;4,000 pg/mL may require a dual trigger with GnRHa and 1,000 IU hCG and intensive luteal phase support to improve implantation rates. (Fertil Steril (R) 2012;97:531-3.

• 出版日期2012-3