SlideShare a Scribd company logo

Management of poor ovarian response

•Download as PPT, PDF•
•
H
Hesham Gaber

The document discusses the definition and management of poor ovarian response. Poor response is generally defined as women with low ovarian reserve or a poor response to ovarian stimulation. As women age, their ovarian reserve declines resulting in fewer remaining eggs. The infertility specialist aims to assess biological age by measuring remaining egg count. Treatment options discussed include clomiphene citrate, letrozole, metformin, gonadotropins, ovarian drilling, and various IVF protocols tailored for poor responders. No single treatment guarantees success, and expectations must be managed through counseling.

Health & MedicineEntertainment & Humor
1 of 40
Management of Poor Ovarian response
Definition ,[object Object],[object Object],[object Object],[object Object]
Normal ovarian response DAYS FROM LH PEAK LH FSH 10 15 20 25 0 5 10 15 ,[object Object],[object Object]
Reserve ,[object Object]
[object Object],[object Object]
[object Object]
Poor response ,[object Object],[object Object]
Poor response & Monofollicular induction
Gold Standard: Clomiphene Citrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Expected conception rate on clomiphene citrate ,[object Object],[object Object],[object Object]
Clomiphene citrate failure ,[object Object],[object Object],[object Object],[object Object],[object Object]
CC Resistant ,[object Object]
No ovulation: ,[object Object],[object Object],[object Object]
The Aromatase Inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prolactin Reducing Medications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metformin ,[object Object],[object Object]
gonadotrophins ,[object Object],[object Object],[object Object],[object Object]
Ovarian Drilling ,[object Object],[object Object],[object Object]
Cochrane Review ,[object Object]
Poor response & Multifollicular induction IVF/ICSI
Protocols for IVF GnRH Antagonist Protocols GnRH Agonist Protocols 225 IU per day (150 IU Europe) Individualized Dosing of FSH/HMG 250  g per day antagonist Individualized Dosing of FSH/HMG GnRHa 1.0 mg per day up to 21 days 0.5 mg per day of GnRHa 225 IU per day (150 IU Europe) Day 6 of FSH/HMG Day of hCG Day 1 of FSH/HMG Day 6 of FSH/HMG Day of hCG 7 – 8 days after estimated ovulation Down regulation Day 2 or 3 of menses Day 1 FSH/HMG OCP
What is poor response in IVF ,[object Object],[object Object],[object Object]
What to do ,[object Object]
Cancellation ,[object Object],[object Object],[object Object]
In subsequent cycles ,[object Object]
[object Object],[object Object]
Protocols for IVF GnRH Antagonist Protocols GnRH Agonist Protocols 225 IU per day (150 IU Europe) Individualized Dosing of FSH/HMG 250  g per day antagonist Individualized Dosing of FSH/HMG GnRHa 1.0 mg per day up to 21 days 0.5 mg per day of GnRHa 225 IU per day (150 IU Europe) Day 6 of FSH/HMG Day of hCG Day 1 of FSH/HMG Day 6 of FSH/HMG Day of hCG 7 – 8 days after estimated ovulation Down regulation Day 2 or 3 of menses Day 1 FSH/HMG OCP
Protocols for poor responders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Short (flare up protocol): ,[object Object],[object Object]
Ultra-short protocol ,[object Object],[object Object],[object Object]
[object Object]
Growth hormone ,[object Object],[object Object]
NC ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
Prediction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
AMH ,[object Object],[object Object],[object Object],[object Object]
Poor response TI/IUI Gonadotrophins Modified natural cycle ” Antagonist “ IVM” IVF

Recommended

Treatment of decreased ovarian reserve
Treatment of decreased ovarian reserveTreatment of decreased ovarian reserve
Treatment of decreased ovarian reserveDr.Laxmi Agrawal Shrikhande
 
IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha...
IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha... IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha...
IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha...Lifecare Centre
 
Management of poor ovarian response
Management of poor ovarian responseManagement of poor ovarian response
Management of poor ovarian responseHesham Gaber
 
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANI
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANIMANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANI
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANIDR SHASHWAT JANI
 
PCOS - Ovulation Induction 1 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 1 - Dr Bharati DhorepatilPCOS - Ovulation Induction 1 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 1 - Dr Bharati DhorepatilBharati Dhorepatil
 
Ovulation induction in IUI
Ovulation induction in IUIOvulation induction in IUI
Ovulation induction in IUIPoonam Loomba
 
Ovarian Stimulation Protocols
Ovarian Stimulation ProtocolsOvarian Stimulation Protocols
Ovarian Stimulation ProtocolsHesham Gaber
 
Controlled Ovarian Hyperstimulation With IUI
Controlled Ovarian Hyperstimulation With IUIControlled Ovarian Hyperstimulation With IUI
Controlled Ovarian Hyperstimulation With IUIBharati Dhorepatil
 

Recommended

Treatment of decreased ovarian reserve
Treatment of decreased ovarian reserveTreatment of decreased ovarian reserve
Treatment of decreased ovarian reserveDr.Laxmi Agrawal Shrikhande
 
IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha...
IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha... IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha...
IVF – ICSI in PCOS DIFFICULTIES AND SOLUTIONS Dr. Sharda Jain Dr. Jyoti Bha...Lifecare Centre
 
Management of poor ovarian response
Management of poor ovarian responseManagement of poor ovarian response
Management of poor ovarian responseHesham Gaber
 
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANI
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANIMANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANI
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANIDR SHASHWAT JANI
 
PCOS - Ovulation Induction 1 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 1 - Dr Bharati DhorepatilPCOS - Ovulation Induction 1 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 1 - Dr Bharati DhorepatilBharati Dhorepatil
 
Ovulation induction in IUI
Ovulation induction in IUIOvulation induction in IUI
Ovulation induction in IUIPoonam Loomba
 
Ovarian Stimulation Protocols
Ovarian Stimulation ProtocolsOvarian Stimulation Protocols
Ovarian Stimulation ProtocolsHesham Gaber
 
Controlled Ovarian Hyperstimulation With IUI
Controlled Ovarian Hyperstimulation With IUIControlled Ovarian Hyperstimulation With IUI
Controlled Ovarian Hyperstimulation With IUIBharati Dhorepatil
 
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil BharatiOvulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil BharatiBharati Dhorepatil
 
EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROMEEMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROMEAboubakr Elnashar
 
Recent advances in stimulation protocols
Recent advances in stimulation protocolsRecent advances in stimulation protocols
Recent advances in stimulation protocolsSandro Esteves
 
Controlled ovarian stimulation in IVF
Controlled ovarian stimulation in IVFControlled ovarian stimulation in IVF
Controlled ovarian stimulation in IVFAboubakr Elnashar
 
GnRH Antagonists in Controlled Ovarian Stimulation
GnRH Antagonists in Controlled Ovarian StimulationGnRH Antagonists in Controlled Ovarian Stimulation
GnRH Antagonists in Controlled Ovarian StimulationSandro Esteves
 
How to stimulate your patient for IVF / ICSI
How to stimulate your patient for IVF / ICSIHow to stimulate your patient for IVF / ICSI
How to stimulate your patient for IVF / ICSIHesham Al-Inany
 
Fet endometrial preparation
Fet endometrial preparationFet endometrial preparation
Fet endometrial preparationFatih Karaosmanoglu
 
Agonists and antagonists in controlled ovarian stimulation
Agonists and antagonists in controlled ovarian stimulationAgonists and antagonists in controlled ovarian stimulation
Agonists and antagonists in controlled ovarian stimulationSandro Esteves
 
POOR RESPONDERS: Minimal Vs. Maximal stimulation
POOR RESPONDERS: Minimal Vs. Maximal stimulationPOOR RESPONDERS: Minimal Vs. Maximal stimulation
POOR RESPONDERS: Minimal Vs. Maximal stimulationAboubakr Elnashar
 
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLSINDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLSG K hospital Indore
 
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice Sujoy Dasgupta
 
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLESENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLESAboubakr Elnashar
 
Gonadotrpin ovarian stimulation
Gonadotrpin ovarian stimulationGonadotrpin ovarian stimulation
Gonadotrpin ovarian stimulationAboubakr Elnashar
 
PCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 2 - Dr Bharati DhorepatilPCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 2 - Dr Bharati DhorepatilBharati Dhorepatil
 
Controlled Ovarian Hyperstimulation in PCOS women
Controlled Ovarian Hyperstimulation in PCOS womenControlled Ovarian Hyperstimulation in PCOS women
Controlled Ovarian Hyperstimulation in PCOS womenOsama Abdalmageed
 
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...DR SHASHWAT JANI
 
EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME Meenakshi Vempalli
 
Early Ovarian Aging - Dr Dhorepatil Bharati
Early Ovarian Aging - Dr Dhorepatil BharatiEarly Ovarian Aging - Dr Dhorepatil Bharati
Early Ovarian Aging - Dr Dhorepatil BharatiBharati Dhorepatil
 
Triggering in Assisted Reproductive Technologies 2019
Triggering in Assisted Reproductive Technologies 2019Triggering in Assisted Reproductive Technologies 2019
Triggering in Assisted Reproductive Technologies 2019Anu Test Tube Baby Centre
 
Monitoring ART cycle Aboubakr Elnashar
Monitoring ART cycle Aboubakr ElnasharMonitoring ART cycle Aboubakr Elnashar
Monitoring ART cycle Aboubakr ElnasharAboubakr Elnashar
 
GnRH antagonists
GnRH antagonistsGnRH antagonists
GnRH antagonistsHesham Gaber
 
Cervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaCervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaAboubakr Elnashar
 

More Related Content

What's hot

Ovulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil BharatiOvulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil BharatiBharati Dhorepatil
 
EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROMEEMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROMEAboubakr Elnashar
 
Recent advances in stimulation protocols
Recent advances in stimulation protocolsRecent advances in stimulation protocols
Recent advances in stimulation protocolsSandro Esteves
 
Controlled ovarian stimulation in IVF
Controlled ovarian stimulation in IVFControlled ovarian stimulation in IVF
Controlled ovarian stimulation in IVFAboubakr Elnashar
 
GnRH Antagonists in Controlled Ovarian Stimulation
GnRH Antagonists in Controlled Ovarian StimulationGnRH Antagonists in Controlled Ovarian Stimulation
GnRH Antagonists in Controlled Ovarian StimulationSandro Esteves
 
How to stimulate your patient for IVF / ICSI
How to stimulate your patient for IVF / ICSIHow to stimulate your patient for IVF / ICSI
How to stimulate your patient for IVF / ICSIHesham Al-Inany
 
Fet endometrial preparation
Fet endometrial preparationFet endometrial preparation
Fet endometrial preparationFatih Karaosmanoglu
 
Agonists and antagonists in controlled ovarian stimulation
Agonists and antagonists in controlled ovarian stimulationAgonists and antagonists in controlled ovarian stimulation
Agonists and antagonists in controlled ovarian stimulationSandro Esteves
 
POOR RESPONDERS: Minimal Vs. Maximal stimulation
POOR RESPONDERS: Minimal Vs. Maximal stimulationPOOR RESPONDERS: Minimal Vs. Maximal stimulation
POOR RESPONDERS: Minimal Vs. Maximal stimulationAboubakr Elnashar
 
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLSINDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLSG K hospital Indore
 
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice Sujoy Dasgupta
 
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLESENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLESAboubakr Elnashar
 
Gonadotrpin ovarian stimulation
Gonadotrpin ovarian stimulationGonadotrpin ovarian stimulation
Gonadotrpin ovarian stimulationAboubakr Elnashar
 
PCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 2 - Dr Bharati DhorepatilPCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 2 - Dr Bharati DhorepatilBharati Dhorepatil
 
Controlled Ovarian Hyperstimulation in PCOS women
Controlled Ovarian Hyperstimulation in PCOS womenControlled Ovarian Hyperstimulation in PCOS women
Controlled Ovarian Hyperstimulation in PCOS womenOsama Abdalmageed
 
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...DR SHASHWAT JANI
 
EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME Meenakshi Vempalli
 
Early Ovarian Aging - Dr Dhorepatil Bharati
Early Ovarian Aging - Dr Dhorepatil BharatiEarly Ovarian Aging - Dr Dhorepatil Bharati
Early Ovarian Aging - Dr Dhorepatil BharatiBharati Dhorepatil
 
Triggering in Assisted Reproductive Technologies 2019
Triggering in Assisted Reproductive Technologies 2019Triggering in Assisted Reproductive Technologies 2019
Triggering in Assisted Reproductive Technologies 2019Anu Test Tube Baby Centre
 
Monitoring ART cycle Aboubakr Elnashar
Monitoring ART cycle Aboubakr ElnasharMonitoring ART cycle Aboubakr Elnashar
Monitoring ART cycle Aboubakr ElnasharAboubakr Elnashar
 

What's hot (20)

Ovulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil BharatiOvulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
Ovulation Stimulation Protocols for IUI - Dr Dhorepatil Bharati
 
EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROMEEMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME
 
Recent advances in stimulation protocols
Recent advances in stimulation protocolsRecent advances in stimulation protocols
Recent advances in stimulation protocols
 
Controlled ovarian stimulation in IVF
Controlled ovarian stimulation in IVFControlled ovarian stimulation in IVF
Controlled ovarian stimulation in IVF
 
GnRH Antagonists in Controlled Ovarian Stimulation
GnRH Antagonists in Controlled Ovarian StimulationGnRH Antagonists in Controlled Ovarian Stimulation
GnRH Antagonists in Controlled Ovarian Stimulation
 
How to stimulate your patient for IVF / ICSI
How to stimulate your patient for IVF / ICSIHow to stimulate your patient for IVF / ICSI
How to stimulate your patient for IVF / ICSI
 
Fet endometrial preparation
Fet endometrial preparationFet endometrial preparation
Fet endometrial preparation
 
Agonists and antagonists in controlled ovarian stimulation
Agonists and antagonists in controlled ovarian stimulationAgonists and antagonists in controlled ovarian stimulation
Agonists and antagonists in controlled ovarian stimulation
 
POOR RESPONDERS: Minimal Vs. Maximal stimulation
POOR RESPONDERS: Minimal Vs. Maximal stimulationPOOR RESPONDERS: Minimal Vs. Maximal stimulation
POOR RESPONDERS: Minimal Vs. Maximal stimulation
 
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLSINDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
INDIVIDUALISED OVARIAN STIMULATION PROTOCOLS
 
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
Diagnosis and Management of Poor Ovarian Reserve : Evidence & Practice
 
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLESENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
ENDOMETRIAL PREPARATION IN FROZEN EMBRYO TRANSFER CYCLES
 
Gonadotrpin ovarian stimulation
Gonadotrpin ovarian stimulationGonadotrpin ovarian stimulation
Gonadotrpin ovarian stimulation
 
PCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 2 - Dr Bharati DhorepatilPCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
PCOS - Ovulation Induction 2 - Dr Bharati Dhorepatil
 
Controlled Ovarian Hyperstimulation in PCOS women
Controlled Ovarian Hyperstimulation in PCOS womenControlled Ovarian Hyperstimulation in PCOS women
Controlled Ovarian Hyperstimulation in PCOS women
 
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
Panel IUI by DR SHASHWAT JANI ( Optimizing Success in Intrauterine Inseminati...
 
EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME EMPTY FOLLICLE SYNDROME
EMPTY FOLLICLE SYNDROME
 
Early Ovarian Aging - Dr Dhorepatil Bharati
Early Ovarian Aging - Dr Dhorepatil BharatiEarly Ovarian Aging - Dr Dhorepatil Bharati
Early Ovarian Aging - Dr Dhorepatil Bharati
 
Triggering in Assisted Reproductive Technologies 2019
Triggering in Assisted Reproductive Technologies 2019Triggering in Assisted Reproductive Technologies 2019
Triggering in Assisted Reproductive Technologies 2019
 
Monitoring ART cycle Aboubakr Elnashar
Monitoring ART cycle Aboubakr ElnasharMonitoring ART cycle Aboubakr Elnashar
Monitoring ART cycle Aboubakr Elnashar
 

Viewers also liked

GnRH antagonists
GnRH antagonistsGnRH antagonists
GnRH antagonistsHesham Gaber
 
Cervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaCervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaAboubakr Elnashar
 
Physiology of labor. Anaesthesia in labor
Physiology of labor. Anaesthesia in laborPhysiology of labor. Anaesthesia in labor
Physiology of labor. Anaesthesia in laborberbets
 
Free Information Session 5th September 2012: Recent Breakthroughs in IVF
Free Information Session 5th September 2012: Recent Breakthroughs in IVFFree Information Session 5th September 2012: Recent Breakthroughs in IVF
Free Information Session 5th September 2012: Recent Breakthroughs in IVFFertility SA
 
Prognostic models
Prognostic modelsPrognostic models
Prognostic modelsHesham Gaber
 
The Role of Aromatase Inhibitors in Assisted Reproductive Technologies
The Role of Aromatase Inhibitors in Assisted Reproductive TechnologiesThe Role of Aromatase Inhibitors in Assisted Reproductive Technologies
The Role of Aromatase Inhibitors in Assisted Reproductive TechnologiesUlun Uluğ
 
Mild ivf for poor responders (final)
Mild ivf for poor responders (final) Mild ivf for poor responders (final)
Mild ivf for poor responders (final) IVF-Mohamed Youssef AF
 
IVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy ratesIVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy ratesElmar Breitbach
 
Management of Poor Responders
Management of Poor RespondersManagement of Poor Responders
Management of Poor RespondersSandro Esteves
 
Managing poor responder
Managing poor responderManaging poor responder
Managing poor responderG A RAMA Raju
 
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...Ahmed Mowafy
 
ART: Factors affecting success: ABOUBAKR ELNASHAR
ART: Factors affecting success: ABOUBAKR ELNASHAR ART: Factors affecting success: ABOUBAKR ELNASHAR
ART: Factors affecting success: ABOUBAKR ELNASHAR Aboubakr Elnashar
 
Ovarian reserve 2
Ovarian reserve 2Ovarian reserve 2
Ovarian reserve 2Azmi Saleh
 
Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...
Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...
Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...Aboubakr Elnashar
 
Poor ovarian Response
Poor ovarian ResponsePoor ovarian Response
Poor ovarian ResponseManal Kamel
 
Ovarian stimulation oral agents
Ovarian stimulation oral agentsOvarian stimulation oral agents
Ovarian stimulation oral agentsAhmad Saber
 
Ovulation induction
Ovulation inductionOvulation induction
Ovulation inductionnermine amin
 
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre Lifecare Centre
 

Viewers also liked (20)

GnRH antagonists
GnRH antagonistsGnRH antagonists
GnRH antagonists
 
Cervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaCervical intra epithelial neoplasia
Cervical intra epithelial neoplasia
 
Infertility
InfertilityInfertility
Infertility
 
Physiology of labor. Anaesthesia in labor
Physiology of labor. Anaesthesia in laborPhysiology of labor. Anaesthesia in labor
Physiology of labor. Anaesthesia in labor
 
Free Information Session 5th September 2012: Recent Breakthroughs in IVF
Free Information Session 5th September 2012: Recent Breakthroughs in IVFFree Information Session 5th September 2012: Recent Breakthroughs in IVF
Free Information Session 5th September 2012: Recent Breakthroughs in IVF
 
Prognostic models
Prognostic modelsPrognostic models
Prognostic models
 
The Role of Aromatase Inhibitors in Assisted Reproductive Technologies
The Role of Aromatase Inhibitors in Assisted Reproductive TechnologiesThe Role of Aromatase Inhibitors in Assisted Reproductive Technologies
The Role of Aromatase Inhibitors in Assisted Reproductive Technologies
 
Mild ivf for poor responders (final)
Mild ivf for poor responders (final) Mild ivf for poor responders (final)
Mild ivf for poor responders (final)
 
IVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy ratesIVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy rates
 
Management of Poor Responders
Management of Poor RespondersManagement of Poor Responders
Management of Poor Responders
 
Managing poor responder
Managing poor responderManaging poor responder
Managing poor responder
 
Letrozole Final
Letrozole FinalLetrozole Final
Letrozole Final
 
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
In vitro fertilization and embryo transfer "IVF"; Overview on the Story FRO...
 
ART: Factors affecting success: ABOUBAKR ELNASHAR
ART: Factors affecting success: ABOUBAKR ELNASHAR ART: Factors affecting success: ABOUBAKR ELNASHAR
ART: Factors affecting success: ABOUBAKR ELNASHAR
 
Ovarian reserve 2
Ovarian reserve 2Ovarian reserve 2
Ovarian reserve 2
 
Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...
Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...
Aromatase inhibitors or gonadotropin-releasing hormone agonists for the manag...
 
Poor ovarian Response
Poor ovarian ResponsePoor ovarian Response
Poor ovarian Response
 
Ovarian stimulation oral agents
Ovarian stimulation oral agentsOvarian stimulation oral agents
Ovarian stimulation oral agents
 
Ovulation induction
Ovulation inductionOvulation induction
Ovulation induction
 
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
 

Similar to Management of poor ovarian response

Updated Slides
Updated SlidesUpdated Slides
Updated Slidesguestecbf97
 
Management of Female Infertility
Management of Female InfertilityManagement of Female Infertility
Management of Female InfertilitySathish Kumar
 
Infertility up to date2
Infertility up to date2Infertility up to date2
Infertility up to date2RihabAbbasAli
 
Infertility up to date2
Infertility up to date2Infertility up to date2
Infertility up to date2RihabAbbasAli
 
Infertility up to date2
Infertility up to date2Infertility up to date2
Infertility up to date2RihabAbbasAli
 
Ovulation Stimulation Protocols for IUI
Ovulation Stimulation Protocols for IUIOvulation Stimulation Protocols for IUI
Ovulation Stimulation Protocols for IUIBharati Dhorepatil
 
Week 1 Powerpoint
Week 1 PowerpointWeek 1 Powerpoint
Week 1 Powerpointtownsellj
 
Case 1 - Preconception Care #2
Case 1 - Preconception Care #2Case 1 - Preconception Care #2
Case 1 - Preconception Care #2townsellj
 
Ovulation induction
Ovulation inductionOvulation induction
Ovulation inductionsunitafeme
 
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain Lifecare Centre
 
Effective Safe Superovulation.
Effective Safe Superovulation.Effective Safe Superovulation.
Effective Safe Superovulation.Mahmoud Abdel-Aleem
 
OHSS Management - Dr Dhorepatil Bharati
OHSS Management - Dr Dhorepatil BharatiOHSS Management - Dr Dhorepatil Bharati
OHSS Management - Dr Dhorepatil BharatiBharati Dhorepatil
 
ovarian stimulation- back to basics
ovarian stimulation- back to basicsovarian stimulation- back to basics
ovarian stimulation- back to basicsparul sehgal
 
Stimulation protocol in ART: should we tailor it on AMH level?
Stimulation protocol in ART: should we tailor it on AMH level?Stimulation protocol in ART: should we tailor it on AMH level?
Stimulation protocol in ART: should we tailor it on AMH level?DrRokeyaBegum
 
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts Lifecare Centre
 
Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....
Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....
Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....Lifecare Centre
 

Similar to Management of poor ovarian response (20)

Updated Slides
Updated SlidesUpdated Slides
Updated Slides
 
Management of Female Infertility
Management of Female InfertilityManagement of Female Infertility
Management of Female Infertility
 
Infertility up to date2
Infertility up to date2Infertility up to date2
Infertility up to date2
 
Infertility up to date2
Infertility up to date2Infertility up to date2
Infertility up to date2
 
Infertility up to date2
Infertility up to date2Infertility up to date2
Infertility up to date2
 
Ovulation Stimulation Protocols for IUI
Ovulation Stimulation Protocols for IUIOvulation Stimulation Protocols for IUI
Ovulation Stimulation Protocols for IUI
 
Week 1 Powerpoint
Week 1 PowerpointWeek 1 Powerpoint
Week 1 Powerpoint
 
Case 1 - Preconception Care #2
Case 1 - Preconception Care #2Case 1 - Preconception Care #2
Case 1 - Preconception Care #2
 
AN IDEAL OVULATION INDUCTION REGIMEN
AN IDEAL OVULATION INDUCTION REGIMENAN IDEAL OVULATION INDUCTION REGIMEN
AN IDEAL OVULATION INDUCTION REGIMEN
 
Ovulation induction
Ovulation inductionOvulation induction
Ovulation induction
 
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
 
Effective Safe Superovulation.
Effective Safe Superovulation.Effective Safe Superovulation.
Effective Safe Superovulation.
 
OHSS Management - Dr Dhorepatil Bharati
OHSS Management - Dr Dhorepatil BharatiOHSS Management - Dr Dhorepatil Bharati
OHSS Management - Dr Dhorepatil Bharati
 
ovarian stimulation- back to basics
ovarian stimulation- back to basicsovarian stimulation- back to basics
ovarian stimulation- back to basics
 
Stimulation protocol in ART: should we tailor it on AMH level?
Stimulation protocol in ART: should we tailor it on AMH level?Stimulation protocol in ART: should we tailor it on AMH level?
Stimulation protocol in ART: should we tailor it on AMH level?
 
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
 
Induction of ovulation
Induction of ovulationInduction of ovulation
Induction of ovulation
 
FEMALE INFERTILITY
FEMALE INFERTILITY FEMALE INFERTILITY
FEMALE INFERTILITY
 
Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....
Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....
Ovarian Stimulation in IUI- Overview. Dr. jyoti Bhaskar, Dr. Sharda Jain, Dr....
 
Managing poor responders in IVF
Managing poor responders in IVFManaging poor responders in IVF
Managing poor responders in IVF
 

More from Hesham Gaber

High responders
High respondersHigh responders
High respondersHesham Gaber
 
So much evidence 1
So much evidence 1So much evidence 1
So much evidence 1Hesham Gaber
 
So much evidence 1
So much evidence 1So much evidence 1
So much evidence 1Hesham Gaber
 
Contraception
ContraceptionContraception
ContraceptionHesham Gaber
 
Thromboprophylaxis
ThromboprophylaxisThromboprophylaxis
ThromboprophylaxisHesham Gaber
 
Pattern of vitamin d receptor polymorphism
Pattern of vitamin d receptor polymorphism Pattern of vitamin d receptor polymorphism
Pattern of vitamin d receptor polymorphism Hesham Gaber
 
So much evidence
So much evidenceSo much evidence
So much evidenceHesham Gaber
 
Why to know statistics
Why to know statisticsWhy to know statistics
Why to know statisticsHesham Gaber
 
Uterine sarcoma
Uterine sarcomaUterine sarcoma
Uterine sarcomaHesham Gaber
 
Systematic review
Systematic reviewSystematic review
Systematic reviewHesham Gaber
 
Statistics & infertility
Statistics & infertilityStatistics & infertility
Statistics & infertilityHesham Gaber
 
Research methodology 101
Research methodology 101Research methodology 101
Research methodology 101Hesham Gaber
 
Randomised controlled trials
Randomised controlled trialsRandomised controlled trials
Randomised controlled trialsHesham Gaber
 
Paternal age
Paternal agePaternal age
Paternal ageHesham Gaber
 
Ovarian hyperstimulation syndrome
Ovarian hyperstimulation syndromeOvarian hyperstimulation syndrome
Ovarian hyperstimulation syndromeHesham Gaber
 
Management of ovarian cysts in postmenopausal women
Management of ovarian cysts in postmenopausal womenManagement of ovarian cysts in postmenopausal women
Management of ovarian cysts in postmenopausal womenHesham Gaber
 
Male infertility
Male infertilityMale infertility
Male infertilityHesham Gaber
 
Intersexuality
IntersexualityIntersexuality
IntersexualityHesham Gaber
 
Hysteroscopic metroplasty
Hysteroscopic metroplasty Hysteroscopic metroplasty
Hysteroscopic metroplasty Hesham Gaber
 

More from Hesham Gaber (20)

High responders
High respondersHigh responders
High responders
 
Poor
PoorPoor
Poor
 
So much evidence 1
So much evidence 1So much evidence 1
So much evidence 1
 
So much evidence 1
So much evidence 1So much evidence 1
So much evidence 1
 
Contraception
ContraceptionContraception
Contraception
 
Thromboprophylaxis
ThromboprophylaxisThromboprophylaxis
Thromboprophylaxis
 
Pattern of vitamin d receptor polymorphism
Pattern of vitamin d receptor polymorphism Pattern of vitamin d receptor polymorphism
Pattern of vitamin d receptor polymorphism
 
So much evidence
So much evidenceSo much evidence
So much evidence
 
Why to know statistics
Why to know statisticsWhy to know statistics
Why to know statistics
 
Uterine sarcoma
Uterine sarcomaUterine sarcoma
Uterine sarcoma
 
Systematic review
Systematic reviewSystematic review
Systematic review
 
Statistics & infertility
Statistics & infertilityStatistics & infertility
Statistics & infertility
 
Research methodology 101
Research methodology 101Research methodology 101
Research methodology 101
 
Randomised controlled trials
Randomised controlled trialsRandomised controlled trials
Randomised controlled trials
 
Paternal age
Paternal agePaternal age
Paternal age
 
Ovarian hyperstimulation syndrome
Ovarian hyperstimulation syndromeOvarian hyperstimulation syndrome
Ovarian hyperstimulation syndrome
 
Management of ovarian cysts in postmenopausal women
Management of ovarian cysts in postmenopausal womenManagement of ovarian cysts in postmenopausal women
Management of ovarian cysts in postmenopausal women
 
Male infertility
Male infertilityMale infertility
Male infertility
 
Intersexuality
IntersexualityIntersexuality
Intersexuality
 
Hysteroscopic metroplasty
Hysteroscopic metroplasty Hysteroscopic metroplasty
Hysteroscopic metroplasty
 

Recently uploaded

Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any TimeCall Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Timevijaych2041
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 

Recently uploaded (20)

Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any TimeCall Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
 

Management of poor ovarian response

  • 1. Management of Poor Ovarian response
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Poor response & Monofollicular induction
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. Poor response & Multifollicular induction IVF/ICSI
  • 21. Protocols for IVF GnRH Antagonist Protocols GnRH Agonist Protocols 225 IU per day (150 IU Europe) Individualized Dosing of FSH/HMG 250  g per day antagonist Individualized Dosing of FSH/HMG GnRHa 1.0 mg per day up to 21 days 0.5 mg per day of GnRHa 225 IU per day (150 IU Europe) Day 6 of FSH/HMG Day of hCG Day 1 of FSH/HMG Day 6 of FSH/HMG Day of hCG 7 – 8 days after estimated ovulation Down regulation Day 2 or 3 of menses Day 1 FSH/HMG OCP
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Protocols for IVF GnRH Antagonist Protocols GnRH Agonist Protocols 225 IU per day (150 IU Europe) Individualized Dosing of FSH/HMG 250  g per day antagonist Individualized Dosing of FSH/HMG GnRHa 1.0 mg per day up to 21 days 0.5 mg per day of GnRHa 225 IU per day (150 IU Europe) Day 6 of FSH/HMG Day of hCG Day 1 of FSH/HMG Day 6 of FSH/HMG Day of hCG 7 – 8 days after estimated ovulation Down regulation Day 2 or 3 of menses Day 1 FSH/HMG OCP
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40. Poor response TI/IUI Gonadotrophins Modified natural cycle ” Antagonist “ IVM” IVF