Genetic predictors of controlled ovarian hyperstimulation: where do we stand today?
Author(s) -
Signe Altmäe,
Outi Hovatta,
Anneli StavreusEvers,
Andres Salumets
Publication year - 2011
Publication title -
human reproduction update
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.977
H-Index - 180
eISSN - 1362-4946
pISSN - 1355-4786
DOI - 10.1093/humupd/dmr034
Subject(s) - controlled ovarian hyperstimulation , ovarian reserve , oncology , folliculogenesis , medicine , bioinformatics , pharmacogenetics , gynecology , infertility , cochrane library , biology , endocrinology , genetics , meta analysis , pregnancy , gene , genotype , lactation
Nowadays, the use of IVF has improved the prospects of infertility treatment. The expected outcome of IVF depends greatly on the effectiveness of controlled ovarian hyperstimulation (COH), where exogenous gonadotrophins are used to induce folliculogenesis. The response to stimulation varies substantially among women and is difficult to predict. Several predictive markers of COH outcome have been proposed (e.g. maternal age and ovarian reserve), but the search for optimal predictors is ongoing. Pharmacogenetic studies demonstrate the effects of individual genetic variability on COH outcome and the potential for customizing therapy based on the patient's genome.
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