About this trial
The goal of this study is to evaluate the role of Somatropin and Dehydroepiandrosterone (DHEA) on ovarian reserve parameters and intracytoplasmic sperm injection (ICSI) outcome in poor ovarian responder.
The main question it aims to answer is:
Which intervention is more effective in increasing number and size of follicles? Participants will be followed 1 month before starting induction in growth hormone and 12 weeks for DHEA and through intracytoplasmic sperm injection (ICSI) cycle.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Advanced maternal age (>40 years) or any other risk factor for Poor Ovarian Response (POR).
≤3 oocytes with a conventional stimulation protocol).
An abnormal ovarian reserve test [i.e. antral follicle count (AFC) less than 5-7 follicles or anti-Müllerian hormone (AMH) below 0.5-1.1 ng/ml].
Disqualifiers
Any endocrine or metabolic disorder such as hyperprolactinemia, diabetes and thyroid dysfunction.
Any pelvic pathology such as hydrosalpinx, uterine anomaly.
Any male factor infertility such as Oligo-Astheno-Teratozoospermia (OAT) or azoospermia
Trial design
Parallel
Treatments tested in this trial
Somatropin (4IU for 1 month) plus, folic acid 400 mcg per day.
DrugPatients will receive Somatropin (4IU for 1 month)1 S.C injection every 3 days for at least 1 month plus, folic acid 400 mcg per day.
DHEA plus folic acid 400mcg per day
DrugPatients will receive DHEA 50 mg twice per day for 12 weeks plus folic acid 400mcg per day
control group
Dietary supplementPatients will receive folic acid 400 mcg per day
Treatment groups
Trial outcomes
Primary outcomes
The number of mature oocyte
Secondary outcomes
pregnancy rate
Sponsors and contacts
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