Page 113 - PRECONGRESS COURSE 06

Metformin Conclusions
Co‐administration of metformin to women with (PCOS)
is associated with significantly lower OHSS rate
might be associated with lower number of COCs and lower miscarriage rate not however with chance of Clinical Pregnancy/Live Birth Rate
increase incidence of adverse events (gastrointestinal problems)
65
Beyond FSH... tools
DO matter
GnRH Antagonist Protocol
Metformin (PCOS)
r‐LH (normal responders) GH (poor responders) serum LH levels
serum PRG levels
More Evidence required
hCG
GH (normal responders) r‐LH (poor)
Serum E2 levels
in the Stimulation Phase 66
DO NOT matter
Flexible/Earlier initiation GnRH antagonist
DHEA (poor and normal) Aromatase inhibitors HMG
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PRECONGRESS COURSE 06 I GENEVA, SWITZERLAND – 2 JULY 2017 113