Live birth associated with peak serum estradiol levels in letrozole intrauterine insemination cycles. (Record no. 12839)

MARC details
000 -LEADER
fixed length control field 04350nam a22006737a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 230316s20232023 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0015-0282
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.fertnstert.2023.01.003 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0015-0282(23)00006-7 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36634734
245 ## - TITLE STATEMENT
Title Live birth associated with peak serum estradiol levels in letrozole intrauterine insemination cycles.
247 ## - FORMER TITLE
Title Live birth associated with peak serum estradiol concentrations in letrozole intrauterine insemination (IUI) cycles.
251 ## - Source
Source Fertility & Sterility. 119(5):785-791, 2023 05.
252 ## - Abbreviated Source
Abbreviated source Fertil Steril. 119(5):785-791, 2023 05.
253 ## - Journal Name
Journal name Fertility and sterility
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 05
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status MEDLINE
266 ## - Date added to catalog
Date updated in catalog 2023-07-03
267 ## - Original year
Original year 2023
268 ## - Previous citation
-- Fertility & Sterility. 2023 Jan 09
269 ## - Original dates
-- Fertil Steril. 2023 Jan 09
269 ## - Original dates
Original fiscal year FY2023
269 ## - Original dates
-- 2023 Jan 09
269 ## - Original dates
-- aheadofprint
269 ## - Original dates
-- Publisher
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: In letrozole ovulation induction cycles followed by intrauterine insemination, lower LBR and clinical pregnancy rates were found in women with lower E2 concentrations compared with higher E2 concentrations at the 25th, 50th, and 75th percentile E2 concentration quartiles. Where possible, delaying HCG trigger until E2 concentration rises following aromatase inhibition and approaches physiologic periovulatory concentration may improve pregnancy rates with letrozole followed by intrauterine insemination. Copyright � 2023. Published by Elsevier Inc.
520 ## - SUMMARY, ETC.
Abstract DESIGN: Retrospective cohort study SETTING: Large, multi-center private practice PATIENTS: A total of 2,368 OI-IUI cycles in patients treated with letrozole followed by IUI were evaluated from January 1, 2014 - July 31, 2019.
520 ## - SUMMARY, ETC.
Abstract INTERVENTIONS: Ovulation induction with letrozole, followed by autologous IUI MAIN OUTCOME MEASURES: The primary outcome measure was LBR as a function of serum E2 concentration at the time of hCG administration or LH surge, adjusting for age, BMI, largest follicle diameter, and number of follicles > 14 mm. Clinical pregnancy rate as a function of E2 concentration, pregnancy rate as a function of lead follicle diameter, and pregnancy loss rates were secondary outcome variables.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: To identify whether estradiol (E2) serum concentration around the day of hCG trigger or LH surge (hCG-LH) was associated with livebirth rate (LBR) during ovulation induction (OI) or controlled ovarian hyperstimulation (COH) with letrozole followed by intrauterine insemination (IUI).
520 ## - SUMMARY, ETC.
Abstract RESULTS: 2,368 cycles met inclusion criteria. Outcomes were evaluated at the 25th (E2 110 pg/ml), 50th (157 pg/ml), 75th (225 pg/ml), and 90th (319 pg/ml) percentiles. LBR ranged from 9.4% - 11.1% in the lower E2 cohorts, and 12.5%-13.5% in the higher E2 cohorts. LBR was significantly greater in the cohort of women with higher E2 concentrations in all percentile comparisons except for the 90th percentile. Mean diameter of peri-ovulatory follicle diameter >20 mm or <20 mm was not independently associated with live birth rate or clinical pregnancy rate, despite a significantly higher mean E2 level in the larger follicle group.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Live Birth
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Luteinizing Hormone
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Chorionic Gonadotropin
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Estradiol
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Insemination
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Insemination, Artificial
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Letrozole
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Ovulation Induction
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pregnancy
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pregnancy Rate
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics & Gynecology Residency
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics and Gynecology
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Devine, Kate
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kodama, Samantha
Institution Code MWHC
Program Obstetrics & Gynecology Residency
Degree MD
Resident year Resident PGY 4
790 ## - Authors
All authors New EP
-- Kodama S
-- Devine K
-- Jahandideh S
-- Imudia AN
-- Plosker SM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.fertnstert.2023.01.003">https://dx.doi.org/10.1016/j.fertnstert.2023.01.003</a>
Public note https://dx.doi.org/10.1016/j.fertnstert.2023.01.003
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Journal Article

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