Prognostic use of mean ovarian volume in in vitro fertilization cycles: A prospective assessment

John L. Frattarelli, Andrew J. Levi, Bradley T. Miller, James H. Segars

Research output: Contribution to journalArticle

Abstract

To determine the predictive value and to define prognostic threshold measurements for mean ovarian volume (MOV) in patients undergoing IVF. Prospective cohort analysis. Tertiary care center. Two hundred sixty-seven patients. Transvaginal ultrasound before starting gonadotropins. Number of oocytes retrieved, basal hormone levels, and cycle outcomes. The MOV for the population was 4.78 ± 2.6 cm 3 (range 0.9-21.1 cm 3). The MOV significantly correlated with the majority of prestimulation and poststimulation IVF parameters. Threshold analysis demonstrated a lower pregnancy rate associated with a MOV of <2 cm 3 (31.6% vs. 55.6%). Threshold analysis revealed a trend toward higher cancellation rate associated with a MOV of <2 cm 3 (21.1% vs. 7.3%). Although MOV correlated with IVF stimulation parameters, its use as an adjunct in counseling patients during IVF appears to be of limited value. A MOV <2 cm 3 was associated clinically with a higher cancellation rate (21.1%) and a lower pregnancy rate (31.6%) in those cycles not cancelled. However, these values do not deviate far from the mean national IVF outcome rates. There was no absolute MOV that was predictive of pregnancy outcome or cycle cancellation.

Original languageEnglish (US)
Pages (from-to)811-815
Number of pages5
JournalFertility and sterility
Volume82
Issue number4
DOIs
StatePublished - Oct 1 2004

Keywords

  • In vitro fertilization
  • basal antral follicle count
  • cancellation rate
  • clinical outcome
  • mean ovarian volume
  • ovarian reserve
  • ovarian response
  • predictive value
  • pregnancy
  • review

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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