用hCG 200 iu 取代FSH於晚期誘導排卵

卵>1.2cm可以使用hCG 200 iu/d 取代FSH於誘導排卵

http://molehr.oxfordjournals.org/content/17/1/33.full

於取卵後D5-7施打3天GnRHantagonist可改善OHSS

於取卵後D5-7施打3天GnRHantagonist可改善卵巢過度刺激OHSS

OHSS造成血液濃稠, MCV>45, WBC>15000, 卵巢>10cm,


http://humrep.oxfordjournals.org/content/22/5/1348.full
http://humrep.oxfordjournals.org/content/28/7/1929.full

COH'劑量越高，施打hCG時P4越高

D2 hormone 標準值
FSH<10
LH<10
E2<60

COH'劑量越高，Day hCG時之E2越高 ，P4越高

P4高>1.5可能干擾胚胎著床

http://humrep.oxfordjournals.org/content/26/7/1813.full

P4大於1.5之機率約24%，懷孕率明顯較低

施打破卵針當天P4>1.5之機率約24%，

E2越高，COH劑量越高, 卵數量越多，P4>1.5之機率越高

P4>1.5懷孕率較低
P4>1.9懷孕率明顯較低

http://humrep.oxfordjournals.org/content/27/6/1822.full
http://humupd.oxfordjournals.org/content/19/5/433.full

PGD失敗錯誤率約10%

PGD基因放大偵測過程失敗錯誤率約10%

Genotype un-diagnosed	28 (10%)
Amplification failure	14 (5%)
Allele drop-out	14 (5%)

http://humrep.oxfordjournals.org/content/28/5/1435.full