Genetic and clinical predictors of ovarian response in assisted reproductive technology

1st Physics and Technologies in Medicine and Dentistry Symposium

物理学;医药卫生

Wiweko, B.^1,3 ; Damayanti, I.^1 ; Suryandari, D.^2 ; Natadisastra, M.^1,3 ; Pratama, G.^1,3 ; Sumapraja, K.^1,3 ; Meutia, K.^3 ; Iffanolia, P.^3 ; Harzief, A.K.^1,3 ; Hestiantoro, A.^1,3

Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia^1

Department of Molecular Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia^2

Indonesian Reproductive Medicine Indonesian Medical Eduation and Research Institute, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia^3

关键词: Assisted reproductive technologies;    Clinical predictors;    Cohort studies;    Model combination;    Multi variate analysis;    Peripheral blood;    Prediction model;    Response prediction;   

Others  :  https://iopscience.iop.org/article/10.1088/1742-6596/884/1/012086/pdf
DOI  :  10.1088/1742-6596/884/1/012086

学科分类：卫生学

来源: IOP

【 摘 要 】

Several factors are known to influence ovarian response to rFSH stimulation such as age, antral follicle count (AFC), and basal FSH level, Mutation of allele Ser680Asn in FSHR gene was responsible to ovarian resistance toward exogenous FSH. The aim of this study is to develop a prediction model of ovarian response to COS in IVF. This study was a prospective cohort study. One hundred and thirteen women undergoing their first cycle of IVF in Yasmin IVF Clinic Jakarta were recruited to this study. Clinical datas included were age, BMI, and AFC. Basal FSH and E2 as well as serum AMH was measured from peripheral blood taken at second day of cycle. Bsr-1 enzyme is used to identify the polymorphism in exon 10 position 680 with RFLP technique. Three genotype polymorphism, Asn/Asn (255 bp ribbon), Asn/Ser (97 bp and 158 bp), and Ser/Ser (97 bp, 158 bp, and 255 bp). AFC has the highest predictor for ovarian response with AUC 0.922 (CI 95% 0.833-1.000). AMH also showed high predicting value (AUC 0.843 CI 95% 0.663-1.000). The multivariate analysis revealed combination of AFC, AMH, age, and basal FSH is a good model for ovarian response prediction (AUC=0.97). No significant relation between Asn/Asn, Asn/Ser, or Ser/Ser genotype FSHR polymorphism with ovarian response (p = 0.866) and total dose of rRSH (p = 0.08). This study showed that model combination of AFC, AMH, patient's age and basal FSH are very good to predict number of mature oocytes.