Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study

Background: Ovarian hyperstimulation syndrome (OHSS) is the most serious and potentially life-threatening iatrogenic complication associated with ovarian stimulation during assisted reproductive technology protocols. The aim of this study was to evaluate the role of dopamine agonist as a preventive...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Niyazi Kilic, Özhan Özdemir, Hakan Cevdet Başar, Fadime Demircan, Fırat Ekmez, Oğuz Yücel
Formato: article
Lenguaje:EN
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015
Materias:
R
Acceso en línea:https://doaj.org/article/eb2843cba3aa46cc95007fbbc7b31399
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:eb2843cba3aa46cc95007fbbc7b31399
record_format dspace
spelling oai:doaj.org-article:eb2843cba3aa46cc95007fbbc7b313992021-12-02T16:34:20ZCabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study2231-07702249-446410.4103/2231-0770.165121https://doaj.org/article/eb2843cba3aa46cc95007fbbc7b313992015-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.165121https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background: Ovarian hyperstimulation syndrome (OHSS) is the most serious and potentially life-threatening iatrogenic complication associated with ovarian stimulation during assisted reproductive technology protocols. The aim of this study was to evaluate the role of dopamine agonist as a preventive strategy of OHSS in women at high risk in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatment cycles. Methods: Seventy women at risk to develop OHSS undergoing IVF/ICSI treatment cycle were included. The study group received 0.5 mg of cabergoline for 8 days from the day of human chorionic gonadotropin administration in comparison to those who undergo no treatment for the prevention of OHSS. The reduction of the incidence of OHSS was the primary outcome. Results: The actual incidence of OHSS was 8.33% in the cabergoline group and 20.58% in the control group. Thus, the incidence of OHSS was significantly reduced, by almost 60%, in the cabergoline group in comparison with the control group (relative ratios: 0.4, 95% confidence interval: 0.18–0.79). Conclusion: Prophylactic treatment with the dopamine agonist, cabergoline, reduces the incidence of OHSS in women at high risk undergoing IVF/ICSI treatment. However, the effects of cabergoline on important outcomes, namely, live birth, miscarriage, and congenital abnormalities are still uncertain.Niyazi KilicÖzhan ÖzdemirHakan Cevdet BaşarFadime DemircanFırat EkmezOğuz YücelThieme Medical and Scientific Publishers Pvt. Ltd.articlecabergolineovarian hyperstimulationvascular endothelial growth factorMedicineRENAvicenna Journal of Medicine, Vol 05, Iss 04, Pp 123-127 (2015)
institution DOAJ
collection DOAJ
language EN
topic cabergoline
ovarian hyperstimulation
vascular endothelial growth factor
Medicine
R
spellingShingle cabergoline
ovarian hyperstimulation
vascular endothelial growth factor
Medicine
R
Niyazi Kilic
Özhan Özdemir
Hakan Cevdet Başar
Fadime Demircan
Fırat Ekmez
Oğuz Yücel
Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study
description Background: Ovarian hyperstimulation syndrome (OHSS) is the most serious and potentially life-threatening iatrogenic complication associated with ovarian stimulation during assisted reproductive technology protocols. The aim of this study was to evaluate the role of dopamine agonist as a preventive strategy of OHSS in women at high risk in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatment cycles. Methods: Seventy women at risk to develop OHSS undergoing IVF/ICSI treatment cycle were included. The study group received 0.5 mg of cabergoline for 8 days from the day of human chorionic gonadotropin administration in comparison to those who undergo no treatment for the prevention of OHSS. The reduction of the incidence of OHSS was the primary outcome. Results: The actual incidence of OHSS was 8.33% in the cabergoline group and 20.58% in the control group. Thus, the incidence of OHSS was significantly reduced, by almost 60%, in the cabergoline group in comparison with the control group (relative ratios: 0.4, 95% confidence interval: 0.18–0.79). Conclusion: Prophylactic treatment with the dopamine agonist, cabergoline, reduces the incidence of OHSS in women at high risk undergoing IVF/ICSI treatment. However, the effects of cabergoline on important outcomes, namely, live birth, miscarriage, and congenital abnormalities are still uncertain.
format article
author Niyazi Kilic
Özhan Özdemir
Hakan Cevdet Başar
Fadime Demircan
Fırat Ekmez
Oğuz Yücel
author_facet Niyazi Kilic
Özhan Özdemir
Hakan Cevdet Başar
Fadime Demircan
Fırat Ekmez
Oğuz Yücel
author_sort Niyazi Kilic
title Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study
title_short Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study
title_full Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study
title_fullStr Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study
title_full_unstemmed Cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: A randomized controlled study
title_sort cabergoline for preventing ovarian hyperstimulation syndrome in women at risk undergoingin vitro fertilization/intracytoplasmic sperm injection treatment cycles: a randomized controlled study
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2015
url https://doaj.org/article/eb2843cba3aa46cc95007fbbc7b31399
work_keys_str_mv AT niyazikilic cabergolineforpreventingovarianhyperstimulationsyndromeinwomenatriskundergoinginvitrofertilizationintracytoplasmicsperminjectiontreatmentcyclesarandomizedcontrolledstudy
AT ozhanozdemir cabergolineforpreventingovarianhyperstimulationsyndromeinwomenatriskundergoinginvitrofertilizationintracytoplasmicsperminjectiontreatmentcyclesarandomizedcontrolledstudy
AT hakancevdetbasar cabergolineforpreventingovarianhyperstimulationsyndromeinwomenatriskundergoinginvitrofertilizationintracytoplasmicsperminjectiontreatmentcyclesarandomizedcontrolledstudy
AT fadimedemircan cabergolineforpreventingovarianhyperstimulationsyndromeinwomenatriskundergoinginvitrofertilizationintracytoplasmicsperminjectiontreatmentcyclesarandomizedcontrolledstudy
AT fıratekmez cabergolineforpreventingovarianhyperstimulationsyndromeinwomenatriskundergoinginvitrofertilizationintracytoplasmicsperminjectiontreatmentcyclesarandomizedcontrolledstudy
AT oguzyucel cabergolineforpreventingovarianhyperstimulationsyndromeinwomenatriskundergoinginvitrofertilizationintracytoplasmicsperminjectiontreatmentcyclesarandomizedcontrolledstudy
_version_ 1718383786632151040