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International Journal of Fertility and Sterility، جلد ۱۹، شماره ۴، صفحات ۳۶۶-۳۷۰
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عنوان انگلیسی Association of Follicular Distribution Patterns in Polycystic Ovaries with Clinical Outcomes in Assisted Reproductive Technology Cycles: A Prospective Cohort Study
چکیده انگلیسی مقاله Background: This study aims to evaluate the crucial relationship between the follicular distribution pattern (FDP) in
polycystic ovaries and its impact on reproductive outcomes. Recognizing these correlations is essential for optimizing
assisted reproductive treatments and improving fertility outcomes in polycystic ovary syndrome (PCOS) patients.

Materials and Methods: This prospective cohort study included women diagnosed with PCOS who were referred
for IVF/ICSI treatment at the Arash Women’s Hospital. Patient screening was conducted between March 2022 and
September 2023. Ultrasound imaging was performed on cycle days 2-3 of either natural menstrual cycles or those
induced by progestin to assess follicular distribution and ovarian characteristics. Ovarian ultrasound images were classified
based on the Rotterdam criteria. The association between the FDP and the menstrual status, luteinizing hormone
(LH) and Anti-Müllerian hormone (AMH) levels, as well as total number of retrieved and metaphase II oocytes and
the rate of ovarian hyperstimulation syndrome (OHSS) at risk were evaluated.

Results: Of the 157 PCOS patients evaluated during the study period, 73 patients were classified in the peripheral
cystic pattern (PCP) ovaries group and 84 patients in the general cystic pattern (GCP) ovaries group. There was no
statistically significant difference in age and body mass index between groups. The mean serum levels of LH, AMH,
total testosterone, and 17-OHP in the PCP group were significantly higher than the GCP group (P=0.022, P=0.023,
P<00.001, and P=0.028, respectively). The number of retrieved oocytes and the OHSS at risk rate in the PCP group
were notably greater than the GCP group.

Conclusion: It seems that the FDP as a distinguishing factor among individuals diagnosed with PCOS could greatly assist
in selecting a more personalized treatment approach and accurately predicting the treatment response rate.
کلیدواژه‌های انگلیسی مقاله Assisted reproductive technique,Diagnostic imaging,Ovarian Follicle,Polycystic Ovary Syndrome
نویسندگان مقاله Maryam Farid Mojtahedi |
Department of Gynecology and Obstetrics, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

Farzaneh Alemohammad |
Department of Gynecology and Obstetrics, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

Ashraf Moini |
Department of Gynecology and Obstetrics, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

Ladan Kashani |
Department of Gynecology and Obstetrics, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

Mahshad Khodarahmian |
Department of Infertility, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

Fariba Ramezanali |
Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran

Farah Ghasemi |
Department of Gynecology and Obstetrics, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

Roza Shahhosseini |
Department of Gynecology and Obstetrics, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran

نشانی اینترنتی https://www.ijfs.ir/article_719419_255f0f3306a5ffd4021a96e388d50b78.pdf
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