MDSpire - Takeaway

Oocyte maturation triggering in high responders in IVF treatment: a systematic review and network meta-analysis

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  • 1

    This study compares the efficacy and safety of four oocyte maturation triggers in high responders during IVF using a network meta-analysis.

  • 2

    Seven high-quality RCTs involving 632 women were included, showing no significant differences in oocyte yield or clinical pregnancy rates among the triggers.

  • 3

    The GnRHa trigger significantly reduced the risk of moderate to severe ovarian hyperstimulation syndrome compared to hCG.

  • 4

    GnRHa, hCG, and dual triggers showed similar efficacy, but GnRHa provided a better safety profile regarding OHSS risk.

  • 5

    Further multicenter RCTs are needed to assess live birth outcomes and the role of the double trigger in high responders.

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