2012年2月5日

Metformin(gluphage)可提高多囊性卵巢反應及懷孕率

服用Metformin (gluphage, 500mg tid)可下降多囊性卵巢病患之雄性素,提高卵巢反應,懷孕率,減少排卵針劑量. 

http://humrep.oxfordjournals.org/content/17/2/289.full


Co-administration of metformin during rFSH treatment in patients with clomiphene citrate-resistant polycystic ovarian syndrome: a prospective randomized trial

Table III.
The ovarian response and pregnancy rates during rFSH treatment using low dose the step-up protocol
Placebo (n = 15)Metformin (n = 10)
All comparisons between the placebo and metformin groups are not significant.
Duration of stimulation (day)19.7 ± 10.817.1 ± 7.8
Total dose (IU)2062.5 ± 1397.11607.8 ± 887.1
No. of vials27.5 ± 18.621.4 ± 11.8
Estradiol on the day of HCG (pg/ml)543.5 ± 619.9509.1 ± 246.0
Endometrial thickness on the day of HCG (mm)9.7 ± 1.710.0 ± 1.3
Monofollicular development (%)8 (53.3)5 (50.0)
Multifollicular development (%)7 (46.7)5 (50.0)
Ovulation (%)11 (73.3)9 (90.0)
Pregnancy per cycle (%)1 (6.7)3 (30.0)

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