Area under the curve for estradiol levels do not consistently reflect estradiol levels on the day of hCG administration in patients undergoing controlled ovarian hyperstimulation for IVF-ET.

J Assist Reprod Genet

Department of Gynecology and Obstetrics, School of Medicine and Health Sciences, University at Buffalo, State University of New York (SUNY), 219 Bryant Street, Buffalo, New York 14222, USA.

Published: February 2005

Purpose: Most studies reported estradiol (E2) levels attained on day of hCG administration when investigating effect of E2 on IVF outcome. We studied whether a relationship exists between the area under the curve for E2 levels (AUC-E2) and E2 levels on hCG day during IVF-ET.

Methods: Retrospectively, we analyzed data for 313 patients who completed one IVF-ET cycle each. Patients were sorted according to AUC-E2 levels. Then we compared between each patient's own AUC-E2 and the corresponding E2 level on hCG day for the same patient.

Results: Although overall AUC-E2 correlated positively with E2 levels on hCG day, there was no consistent correlation between individual patients.

Conclusions: AUC-E2 reflects more accurately the amount of E2 produced by the follicles during controlled ovarian hyperstimulation. The absence of a uniform correlation between AUC-E2 and E2 on hCG day may result in different conclusions when studying outcomes of IVF treatment.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3455478PMC
http://dx.doi.org/10.1007/s10815-005-1494-4DOI Listing

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