Published in

Wiley, Cochrane Library, 4(2021), 2021

DOI: 10.1002/14651858.cd005289.pub4

Wiley, Cochrane Library, 2014

DOI: 10.1002/14651858.cd005289.pub3

Cochrane Collaboration, Cochrane Database of Systematic Reviews

DOI: 10.1002/14651858.cd005289.pub2

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Monitoring of stimulated cycles in assisted reproduction (IVF and ICSI)

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Traditional monitoring of ovarian hyperstimulation during in vitro fertilisation (IVF) and intra-cytoplasmic sperm injection (ICSI) treatment has included transvaginal ultrasonography (TVUS) plus serum estradiol levels to ensure safe practice by reducing the incidence and severity of ovarian hyperstimulation syndrome (OHSS) whilst achieving the good ovarian response needed for assisted reproduction treatment. The need for combined monitoring (using TVUS and serum estradiol) during ovarian stimulation in assisted reproduction is controversial. It has been suggested that combined monitoring is time consuming, expensive and inconvenient for women and that simplification of IVF and ICSI therapy by using TVUS only should be considered.