The dilemma of the trigger timing in IVF: a review
Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time...
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| Autor*in: |
Maghraby, Hassan [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2024 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2024 |
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| Übergeordnetes Werk: |
Enthalten in: Middle East Fertility Society journal - [S.l.] : Elsevier, 2004, 29(2024), 1 vom: 20. Jan. |
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| Übergeordnetes Werk: |
volume:29 ; year:2024 ; number:1 ; day:20 ; month:01 |
| Links: |
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| DOI / URN: |
10.1186/s43043-024-00166-w |
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SPR05446479X |
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| 520 | |a Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. | ||
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| 650 | 4 | |a Trigger |7 (dpeaa)DE-He213 | |
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| 650 | 4 | |a Follicle size |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Stimulation phase length |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Delaying trigger |7 (dpeaa)DE-He213 | |
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| 650 | 4 | |a Agonist trigger |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Shoukry, Ahmed |4 aut | |
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10.1186/s43043-024-00166-w doi (DE-627)SPR05446479X (SPR)s43043-024-00166-w-e DE-627 ger DE-627 rakwb eng Maghraby, Hassan verfasserin aut The dilemma of the trigger timing in IVF: a review 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. Final oocyte maturation (dpeaa)DE-He213 Trigger (dpeaa)DE-He213 Criteria (dpeaa)DE-He213 Follicle size (dpeaa)DE-He213 Stimulation phase length (dpeaa)DE-He213 Delaying trigger (dpeaa)DE-He213 Human chorionic gonadotropin (dpeaa)DE-He213 Agonist trigger (dpeaa)DE-He213 Saleh, Hesham aut Fourtia, Ismail L. aut Rasheed, Salah aut Elmahdy, Mohamed aut Abdelbadie, Amr S. aut Di Guardo, Federica (orcid)0000-0002-2562-7323 aut Drakopoulos, Panagiotis aut Midassi, Habib aut Shoukry, Ahmed aut Enthalten in Middle East Fertility Society journal [S.l.] : Elsevier, 2004 29(2024), 1 vom: 20. Jan. (DE-627)494831642 (DE-600)2196955-3 2090-3251 nnns volume:29 year:2024 number:1 day:20 month:01 https://dx.doi.org/10.1186/s43043-024-00166-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_206 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4305 AR 29 2024 1 20 01 |
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10.1186/s43043-024-00166-w doi (DE-627)SPR05446479X (SPR)s43043-024-00166-w-e DE-627 ger DE-627 rakwb eng Maghraby, Hassan verfasserin aut The dilemma of the trigger timing in IVF: a review 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. Final oocyte maturation (dpeaa)DE-He213 Trigger (dpeaa)DE-He213 Criteria (dpeaa)DE-He213 Follicle size (dpeaa)DE-He213 Stimulation phase length (dpeaa)DE-He213 Delaying trigger (dpeaa)DE-He213 Human chorionic gonadotropin (dpeaa)DE-He213 Agonist trigger (dpeaa)DE-He213 Saleh, Hesham aut Fourtia, Ismail L. aut Rasheed, Salah aut Elmahdy, Mohamed aut Abdelbadie, Amr S. aut Di Guardo, Federica (orcid)0000-0002-2562-7323 aut Drakopoulos, Panagiotis aut Midassi, Habib aut Shoukry, Ahmed aut Enthalten in Middle East Fertility Society journal [S.l.] : Elsevier, 2004 29(2024), 1 vom: 20. Jan. (DE-627)494831642 (DE-600)2196955-3 2090-3251 nnns volume:29 year:2024 number:1 day:20 month:01 https://dx.doi.org/10.1186/s43043-024-00166-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_206 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4305 AR 29 2024 1 20 01 |
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10.1186/s43043-024-00166-w doi (DE-627)SPR05446479X (SPR)s43043-024-00166-w-e DE-627 ger DE-627 rakwb eng Maghraby, Hassan verfasserin aut The dilemma of the trigger timing in IVF: a review 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. Final oocyte maturation (dpeaa)DE-He213 Trigger (dpeaa)DE-He213 Criteria (dpeaa)DE-He213 Follicle size (dpeaa)DE-He213 Stimulation phase length (dpeaa)DE-He213 Delaying trigger (dpeaa)DE-He213 Human chorionic gonadotropin (dpeaa)DE-He213 Agonist trigger (dpeaa)DE-He213 Saleh, Hesham aut Fourtia, Ismail L. aut Rasheed, Salah aut Elmahdy, Mohamed aut Abdelbadie, Amr S. aut Di Guardo, Federica (orcid)0000-0002-2562-7323 aut Drakopoulos, Panagiotis aut Midassi, Habib aut Shoukry, Ahmed aut Enthalten in Middle East Fertility Society journal [S.l.] : Elsevier, 2004 29(2024), 1 vom: 20. Jan. (DE-627)494831642 (DE-600)2196955-3 2090-3251 nnns volume:29 year:2024 number:1 day:20 month:01 https://dx.doi.org/10.1186/s43043-024-00166-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_206 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4305 AR 29 2024 1 20 01 |
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10.1186/s43043-024-00166-w doi (DE-627)SPR05446479X (SPR)s43043-024-00166-w-e DE-627 ger DE-627 rakwb eng Maghraby, Hassan verfasserin aut The dilemma of the trigger timing in IVF: a review 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. Final oocyte maturation (dpeaa)DE-He213 Trigger (dpeaa)DE-He213 Criteria (dpeaa)DE-He213 Follicle size (dpeaa)DE-He213 Stimulation phase length (dpeaa)DE-He213 Delaying trigger (dpeaa)DE-He213 Human chorionic gonadotropin (dpeaa)DE-He213 Agonist trigger (dpeaa)DE-He213 Saleh, Hesham aut Fourtia, Ismail L. aut Rasheed, Salah aut Elmahdy, Mohamed aut Abdelbadie, Amr S. aut Di Guardo, Federica (orcid)0000-0002-2562-7323 aut Drakopoulos, Panagiotis aut Midassi, Habib aut Shoukry, Ahmed aut Enthalten in Middle East Fertility Society journal [S.l.] : Elsevier, 2004 29(2024), 1 vom: 20. Jan. (DE-627)494831642 (DE-600)2196955-3 2090-3251 nnns volume:29 year:2024 number:1 day:20 month:01 https://dx.doi.org/10.1186/s43043-024-00166-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_206 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4305 AR 29 2024 1 20 01 |
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10.1186/s43043-024-00166-w doi (DE-627)SPR05446479X (SPR)s43043-024-00166-w-e DE-627 ger DE-627 rakwb eng Maghraby, Hassan verfasserin aut The dilemma of the trigger timing in IVF: a review 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. Final oocyte maturation (dpeaa)DE-He213 Trigger (dpeaa)DE-He213 Criteria (dpeaa)DE-He213 Follicle size (dpeaa)DE-He213 Stimulation phase length (dpeaa)DE-He213 Delaying trigger (dpeaa)DE-He213 Human chorionic gonadotropin (dpeaa)DE-He213 Agonist trigger (dpeaa)DE-He213 Saleh, Hesham aut Fourtia, Ismail L. aut Rasheed, Salah aut Elmahdy, Mohamed aut Abdelbadie, Amr S. aut Di Guardo, Federica (orcid)0000-0002-2562-7323 aut Drakopoulos, Panagiotis aut Midassi, Habib aut Shoukry, Ahmed aut Enthalten in Middle East Fertility Society journal [S.l.] : Elsevier, 2004 29(2024), 1 vom: 20. Jan. (DE-627)494831642 (DE-600)2196955-3 2090-3251 nnns volume:29 year:2024 number:1 day:20 month:01 https://dx.doi.org/10.1186/s43043-024-00166-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_206 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4305 AR 29 2024 1 20 01 |
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Enthalten in Middle East Fertility Society journal 29(2024), 1 vom: 20. Jan. volume:29 year:2024 number:1 day:20 month:01 |
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Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. 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Maghraby, Hassan |
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The dilemma of the trigger timing in IVF: a review Final oocyte maturation (dpeaa)DE-He213 Trigger (dpeaa)DE-He213 Criteria (dpeaa)DE-He213 Follicle size (dpeaa)DE-He213 Stimulation phase length (dpeaa)DE-He213 Delaying trigger (dpeaa)DE-He213 Human chorionic gonadotropin (dpeaa)DE-He213 Agonist trigger (dpeaa)DE-He213 |
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Maghraby, Hassan Saleh, Hesham Fourtia, Ismail L. Rasheed, Salah Elmahdy, Mohamed Abdelbadie, Amr S. Di Guardo, Federica Drakopoulos, Panagiotis Midassi, Habib Shoukry, Ahmed |
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dilemma of the trigger timing in ivf: a review |
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The dilemma of the trigger timing in IVF: a review |
| abstract |
Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. © The Author(s) 2024 |
| abstractGer |
Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. © The Author(s) 2024 |
| abstract_unstemmed |
Background Triggering final oocyte maturation is a pivotal step in modern patient-tailored IVF/ICSI treatment, securing the optimal number of mature oocytes retrieved without compromising fertilization, embryo development, and live birth. Several factors need to be considered when deciding the time of the trigger: the size of the leading follicles, distribution of the follicular cohort, the duration of stimulation, the protocol used for stimulation, and ovarian response status. Main body The current narrative review aims to appraise all available evidence for determining the proper time for inducing final oocyte maturation following IVF treatment. Moreover, it discusses the impact of the stimulation protocol, follicular size, and magnitude of ovarian response on choosing the proper timing for trigger. Comprehensive literature search of all available articles and relevant articles studying the criteria for timing of final oocyte maturation trigger in IVF/ICSI cycles were included in this review. It was found that leading follicles size of 16–22 mm is associated with the optimum oocyte maturation ratio, size of the remaining cohort of follicles should be ≥ 14 mm, 10–12 days of minimum length of stimulation should be auspicated in normal responders before trigger, and the timing of trigger administration should not depend solely on hormonal levels. Conclusion In conclusion, the timing of triggering of final oocyte maturation in ICSI cycles should be individualized on a case-by-case basis. © The Author(s) 2024 |
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Saleh, Hesham Fourtia, Ismail L. Rasheed, Salah Elmahdy, Mohamed Abdelbadie, Amr S. Di Guardo, Federica Drakopoulos, Panagiotis Midassi, Habib Shoukry, Ahmed |
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