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Article

Relationship Between Serum Estradiol Level, Ultrasound Follicle Count, Number of Oocytes Retrieved and Their Influence on IVF/ICSI Treatment Outcomes: A Retrospective Cross-Sectional Study

by
Bashar Haj Hamoud
1,
Gilda Schmidt
1,
Chiara Hipp
1,
Meletios Pantelis Nigdelis
1,
Romina Marina Sima
2,3,
Liana Ples
2,3,
Oana Denisa Balalau
2,3,*,
Simona Lucia Baus
1,
Georg Peter Breitbach
1,
Gudrun Wagenpfeil
4,
Erich Franz Solomayer
1,
Tim Schmidt
5 and
Sebastian Findeklee
1
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Saarland University Hospital, Homburg, Germany
2
Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
3
Bucur Maternity, Saint John Hospital, Bucharest, Romania
4
Institute of Medical Biometry, Epidemiology and Medical Informatics, Saarland University Hospital, Homburg, Germany
5
Department of Clinical Chemistry and Laboratory Medicine, Saarland University Hospital, 66424 Homburg, Germany
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2024, 11(2), 420-427; https://doi.org/10.22543/2392-7674.1536
Submission received: 22 July 2024 / Revised: 22 August 2024 / Accepted: 14 September 2024 / Published: 31 October 2024

Abstract

This retrospective cross-sectional study investigates determinants on follicular development, oocyte retrieval and pregnancy outcome. It assessed the clinical practicability of monitoring parameters in relation to predict a successful treatment. Analysis of serum-estradiol (E2), sonographic follicle count, number of oocytes and optimizable parameters have therefore been carried out based on patient files from the IVF outpatient clinic at the Department of Gynecology, Obstetrics and Reproductive Medicine, Homburg/Saar, Germany. Equidirectional connection occurred between serum-E2, sonographic follicle count and number of oocytes (p < 0.001). There was no significant difference between sonographic and punctured follicle count (p = 0.428), but between sonographic/punctured follicle count and number of oocytes obtained (p < 0.01). Increasing endometrial thickness was associated with increasing serum-E2 (p = 0.003) and number of oocytes (p < 0.001), but not with the follicle count (p > 0.05). Additionally, age was inversely associated with sonographic follicle count and number of oocytes (p < 0.001) but not with E2 (p > 0.05). BMI, nicotine and stimulation protocol had no association with the observed parameters (p > 0.05). Mean differences in follicle numbers can be used for predicting expectable numbers of oocytes. Due to comparable numbers of follicles visualized on the day of ovulation induction and the number of follicles punctured, more emphasis should be placed in optimizing oocyte retrieval procedures.
Keywords: serum estradiol measurement; follicle count; oocytes received; IVF; ICSI; cycle monitoring; ultrasound serum estradiol measurement; follicle count; oocytes received; IVF; ICSI; cycle monitoring; ultrasound

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MDPI and ACS Style

Hamoud, B.H.; Schmidt, G.; Hipp, C.; Nigdelis, M.P.; Sima, R.M.; Ples, L.; Balalau, O.D.; Baus, S.L.; Breitbach, G.P.; Wagenpfeil, G.; et al. Relationship Between Serum Estradiol Level, Ultrasound Follicle Count, Number of Oocytes Retrieved and Their Influence on IVF/ICSI Treatment Outcomes: A Retrospective Cross-Sectional Study. J. Mind Med. Sci. 2024, 11, 420-427. https://doi.org/10.22543/2392-7674.1536

AMA Style

Hamoud BH, Schmidt G, Hipp C, Nigdelis MP, Sima RM, Ples L, Balalau OD, Baus SL, Breitbach GP, Wagenpfeil G, et al. Relationship Between Serum Estradiol Level, Ultrasound Follicle Count, Number of Oocytes Retrieved and Their Influence on IVF/ICSI Treatment Outcomes: A Retrospective Cross-Sectional Study. Journal of Mind and Medical Sciences. 2024; 11(2):420-427. https://doi.org/10.22543/2392-7674.1536

Chicago/Turabian Style

Hamoud, Bashar Haj, Gilda Schmidt, Chiara Hipp, Meletios Pantelis Nigdelis, Romina Marina Sima, Liana Ples, Oana Denisa Balalau, Simona Lucia Baus, Georg Peter Breitbach, Gudrun Wagenpfeil, and et al. 2024. "Relationship Between Serum Estradiol Level, Ultrasound Follicle Count, Number of Oocytes Retrieved and Their Influence on IVF/ICSI Treatment Outcomes: A Retrospective Cross-Sectional Study" Journal of Mind and Medical Sciences 11, no. 2: 420-427. https://doi.org/10.22543/2392-7674.1536

APA Style

Hamoud, B. H., Schmidt, G., Hipp, C., Nigdelis, M. P., Sima, R. M., Ples, L., Balalau, O. D., Baus, S. L., Breitbach, G. P., Wagenpfeil, G., Solomayer, E. F., Schmidt, T., & Findeklee, S. (2024). Relationship Between Serum Estradiol Level, Ultrasound Follicle Count, Number of Oocytes Retrieved and Their Influence on IVF/ICSI Treatment Outcomes: A Retrospective Cross-Sectional Study. Journal of Mind and Medical Sciences, 11(2), 420-427. https://doi.org/10.22543/2392-7674.1536

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