Tips and Tricks in ICSI and IVF

1. ‫الرحيم‬ ‫الرمحن‬ ‫هللا‬ ‫بسم‬
ANTAGONIST PROTOCOL

7. In IVF & ICSI Cycle, We Need
Improve Efficacy Better results
PREGNANCY
Improve Safety Less
Complications
OHSS

8. Ovarian Hyperstimulation Syndrome
The Most SERIOUS Complication Of
IVF& ICSI, SO
(SAFETY COME FIRST)

9. We Should Be Evidence Based

10. ESHRE, OCTOBER 2019

11. ESHRE, OCTOBER 2019

12. ESHRE, OCTOBER 2019

13. ESHRE, OCTOBER 2019

22. WHY ANTAGONIST ???
1-Shorter duration of GnRH analogue treatment
2-Less days of stimulation .
3-Reduction in the amount of gonadotropins .
4-No Ovarian cyst Or Hot flashes
5-Can exclude early pregnancy

23. Our Final Conclusion
- No significant difference in the Efficacy of
GnRH antagonist and Long agonist .
-GnRH antagonist Protocol is saferthan
GnRh agonist in IVF & ICSI cycle .

24. Now, WOULD YOU CAHANG YOUR PROTOCOL
FROM AGONIST TO ANTAGONIST ?
Simple, Shorter and SAFER

25. But Not all Doctors will go
to ANTAGONIST !!!!

26. DR.
Ahmed Refaat Adly
Specialist of Reproductive Medicine and Surgery