과배란 유도시 내인성 LH surge에 관한 연구 = Endogenous LH surge in controlled ovarian hyperstimulation

다국어 초록 (Multilingual Abstract)

1. LH surge occured in 38(44.7%) out of 85 cycles studied. 2. Occurence rate of LH surge was not influenced by serum estradiol levels or serum estradiol patterns. 3. Serum LH/FSH ratio on the third day of the menstraul cycle did not significantly after the occurrence rate of LH surge 4. Occurrence rate of LH surge increased significantly as serum progesterone level or rising rate of serum progesterone increased. 5. Number of oocytes retrieved in cycels with LH surge did not differe significantly from those without LH surge. 6. Cleavage rate and pregnancy rate after IVF in cycle with LH surge did not differ significantly from those without LH surge 7. Cleavage rate of oocytes retrieved in cycles with LH surge on the day prior to hCG administration differed significantly from those LH surge on the day of hCG administraion. In conclusion, LH surge occurs in a significantly number of controlled ovarian hyperstimulation cycles with gonadotropins. because the increment of serum progestereone level is followed by LH surge, the rising level of serum progesterone might be used as a predictor of the occurrence of LH surge in cotrolled ovarian hyperstimulation