From: Fertility preservation after gonadotoxic treatments for cancer and autoimmune diseases
Characteristics | Pre-gonadotoxic treatment | Post-gonadotoxic treatment | P-value | ||
---|---|---|---|---|---|
Number of participants (n) | 38 | Â | 5 | Â | Â |
Number of cycles (n) | 54 | Â | 13 | Â | Â |
Age (years) | 33 | (29–36.75) | 26 | (23–40) | 0.026 |
AFC | 9 | (5–15) | 3 | (2–4) | < 0.001 |
Basal FSH (IU/L) | 6.1 | (5.8–9.2) | 10.6 | (5.0–16.2) | 0.004 |
AMH (ng/ml) | 1.89 | (1.15–4.08) | 0.29 | (0.15–1.04) | 0.004 |
Disease type [n (%)]a | |||||
 Haematological cancers | 6 | (11.1) | 4 | (30.8) |  |
 Breast cancer | 30 | (55.6) | 0 | (0.0) |  |
 Gynecological cancers | 9 | (16.7) | 0 | (0.0) |  |
 Sarcoma | 0 | (0.0) | 4 | (30.8) |  |
 Other cancers | 7 | (13.0) | 0 | (0.0) |  |
 Systemic autoimmune diseases | 2 | (3.7) | 5 | (38.5) |  |
Stimulation start timing/ stimulation phase [n (%)]b | |||||
 Normal (Day 1–4) | 23 | (42.6) | 8 | (61.5) |  |
 Random (Follicular phase, Luteal phase) | 26 | (48.1) | 5 | (38.5) |  |
 DuoStim | 5 | (9.3) | 0 | (0.0) |  |
LH suppression regimen [n (%)]b | |||||
 GnRH antagonist | 18 | (33.3) | 9 | (69.2) |  |
 PPOS | 15 | (27.8) | 2 | (15.4) |  |
 Others | 21 | (38.9) | 2 | (15.4) |  |
Gonadotrophin | |||||
 Starting dose of Gonadotropin (IU) | 225 | (150–300) | 150 | (150–150) |  < 0.001 |
 Duration of Gonadotropin use (days) | 10 | (8–11) | 9 | (9–16) | 0.198 |
 Total dosage of Gonadotropin use (IU) | 2175 | (1519–2925) | 1350 | (1200–1950) | 0.026 |
Triggar [n (%)]b | |||||
 hCG or recombinant hCG | 51 | (94.4) | 13 | (100) |  |
 GnRHa | 1 | (1.9) | 0 | (0.0) |  |
 Dual triggar | 2 | (3.7) | 0 | (0.0) |  |
 Serum estradiol on trigger day (pmol/L) | 1334 | (795–2099) | 835 | (438–1035) | 0.149 |
Outcome of oocyte retrieval | |||||
 Number of oocyte retrieved (n) | 9 | (5–14) | 3 | (1–4) | < 0.001 |
 Number of MII oocytes retrieved (n) | 8 | (3–12) | 3 | (0–4) | 0.001 |
 Number of MI oocytes retrieved (n) | 0 | (0–1) | 0 | (0–0) | 0.010 |
 Number of GV oocytes retrieved (n) | 0 | (0–1) | 0 | (0–0) | 0.018 |
 Mature oocyte rate (%)c | 90.3 | (75.0–100) | 100 | (77.5–100) | 0.039 |
Method for fertilisation [n (%)]b | |||||
 Conventional insemination | 6 | (11.1) | 0 | (0.0) |  |
 Intracytoplasmic sperm injection | 10 | (18.5) | 4 | (30.8) |  |
 Split | 6 | (11.1) | 0 | (0.0) |  |
 None | 32 | (59.3) | 9 | (69.2) |  |
Embryological outcome | |||||
 Fertilisation rate (%)d | 76.4 | (59.3–100) | N/A |  | N/A |
 Cleavage developmental rate (%)e | 90.0 | (59.4–100) | N/A |  | N/A |
 Blastocyst developmental rate (%)f | 87.5 | (59.3–100) | N/A |  | N/A |
Vitrified stage [n (%)]a | |||||
 Oocyte | 23 | (60.5) | 4 | (80.0) |  |
 Blastocyst | 15 | (39.5) | 1 | (20.0) |  |