similar between the two groups compared (2.3+0.6 vs. 2.4+0.6, respectively;
p 0.85).
Ongoing pregnancy rates per randomized patient were not significantly
different between patients who started stimulation after the occurrence of menstruation (38.0%) as compared to those who started after two weeks of agonist
administration (30.8%) (rate difference: 7.2, 95% CI: 210.9 to 24.8).
Conclusion: In the long luteal agonist protocol, initiation of stimulation at
occurrence of menstruation is associated with a significantly shorter duration
of agonist administration and does not appear to compromise pregnancy rates
as compared to initiation of stimulation after two weeks of agonist
administration.
The low pregnancy rates and high cancellation rates observed in HIV-positive
couples are disconcerting however and lead to query whether these couples
might not have benefited from a prompter referral to IVF/ICSI. Taken together,
our results call therefore for added vigilance for detecting occult forms of
ovarian failure in HIV-positive and sero-discordant couples with at times,
more expeditious referrals to IVF.
POSTER
ART, CLINICAL: PREGNANCY
P-342 Poster
P-343 Poster
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