MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TỶ LỆ CÓ THAI CỦA NGƯỜI BỆNH ĐÁP ỨNG KÉM VỚI KÍCH THÍCH BUỒNG TRỨNG

Abstract

Objectives: To describe the clinical and paraclinical characteristics and comment on the number of oocytes and the pregnancy rate of patients who have a poor ovarian response to ovarian stimulation. Subjects and methods: A cross-sectional descriptive study of 60 cases of poor response to ovarian stimulation who were examined and treated at the National Center for Assisted Reproductive Technology - National Hospital of Obstetrics and Gynecology from January 2021 to September 2021. Results and discussion: The poor response to ovarian stimulation was mainly in elderly patients with a mean age of 36,78 ± 4,95 years and a relatively long duration of infertility of 5,00 ± 2,87 years. The patients who responded poorly to ovarian stimulation exhibited a low mean AMH index of 1,04 ± 0,82 ng/ml and a low number of secondary follicles of 5,57 ± 1,48 follicles. The average number of oocytes retrieved was 5,10 ± 2,27. In which the number of MII oocytes accounted for the most with 4,23 ± 1,89. The proportion of patients who tested positive for hCG was 13,56%. The clinical pregnancy rate is 10,17%. The ongoing pregnancy rate was 8,47%. Stillbirth rate: the control group had 1 case of stillbirth, accounting for 1,67%. The biochemical pregnancy rate with 2 cases of biochemical pregnancy accounted for 3,39%.