Induction of ovulation with pulsatile GnRH in hypothalamic amenorrhoea

  • Université Paris Cité ROR
  • Hôpital Necker-Enfants Malades ROR

Human Reproduction (Oxford, England), 3(4), 473-477

DOI 10.1093/oxfordjournals.humrep.a136731 PMID 3134391

Abstract

Pulsatile administration of gonadotrophin releasing hormone (GnRH) is a very effective treatment for induction of ovulation in hypothalamic amenorrhoea (HA). Thirty-seven women have been treated for a total of 117 cycles which resulted in 42 pregnancies--four treatment failures occurred. If these cycles are excluded, the 42 pregnancies were obtained within 2.3 cycles. One twin pregnancy occurred and no hyperstimulation was observed. The treatment was administered intravenously with a dosage schedule based on the grading of HA. We concluded that pulsatile GnRH was safe and very successful in induction of pregnancy in HA. Other indications (polycystic ovary syndrome and luteal phase defect) remain much less suitable for this treatment.

Topics

pulsatile GnRH ovulation induction hypothalamic amenorrhea, gonadotrophin releasing hormone treatment anovulation, hypothalamic amenorrhea pregnancy outcomes GnRH therapy, pulsatile GnRH intravenous dosage schedule amenorrhea grading, GnRH pump therapy versus gonadotropins hypothalamic amenorrhea, functional hypothalamic amenorrhea fertility treatment, ovulation induction without hyperstimulation GnRH, pulsatile GnRH polycystic ovary syndrome luteal phase defect, Gompel Mauvais-Jarvis GnRH hypothalamic amenorrhea, GnRH pulsatile therapy pregnancy rate per cycle
PMID 3134391 3134391 DOI 10.1093/oxfordjournals.humrep.a136731 10.1093/oxfordjournals.humrep.a136731

Cite this article

Gompel, A., & Mauvais-Jarvis, P. (1988). Induction of ovulation with pulsatile GnRH in hypothalamic amenorrhoea. *Human reproduction (Oxford, England)*, *3*(4), 473-477. https://doi.org/10.1093/oxfordjournals.humrep.a136731

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