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Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept

Despite the considerate progress to which assisted reproduction technology (ART) has been subject since 1978, some issues remain unresolved. Notably, the clinical management of patients with a poor ovarian response is still a challenge in everyday practice, frustrating to both the patient and the fe...

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Autores principales: Drakopoulos, Panagiotis, Bardhi, Erlisa, Boudry, Liese, Vaiarelli, Alberto, Makrigiannakis, Antonis, Esteves, Sandro C., Tournaye, Herman, Blockeel, Christophe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416136/
https://www.ncbi.nlm.nih.gov/pubmed/32844159
http://dx.doi.org/10.1177/2633494120941480
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author Drakopoulos, Panagiotis
Bardhi, Erlisa
Boudry, Liese
Vaiarelli, Alberto
Makrigiannakis, Antonis
Esteves, Sandro C.
Tournaye, Herman
Blockeel, Christophe
author_facet Drakopoulos, Panagiotis
Bardhi, Erlisa
Boudry, Liese
Vaiarelli, Alberto
Makrigiannakis, Antonis
Esteves, Sandro C.
Tournaye, Herman
Blockeel, Christophe
author_sort Drakopoulos, Panagiotis
collection PubMed
description Despite the considerate progress to which assisted reproduction technology (ART) has been subject since 1978, some issues remain unresolved. Notably, the clinical management of patients with a poor ovarian response is still a challenge in everyday practice, frustrating to both the patient and the fertility expert. Poor ovarian responders (PORs) embody 9–24% of patients undergoing ovarian stimulation, meaning that up to one in four patients conceals a poor reproductive prognosis. The last decade has witnessed the attempts of the medical community to standardize diagnosis of POR with the developing of the Bologna Criteria and the subsequent evolution of the low prognosis patient elaborated in the POSEIDON classification. The aim of this article is to summarize all evidence concerning etiology and management of poor ovarian response, including the most recent advances and future prospects in this regard.
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spelling pubmed-74161362020-08-24 Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept Drakopoulos, Panagiotis Bardhi, Erlisa Boudry, Liese Vaiarelli, Alberto Makrigiannakis, Antonis Esteves, Sandro C. Tournaye, Herman Blockeel, Christophe Ther Adv Reprod Health Review Despite the considerate progress to which assisted reproduction technology (ART) has been subject since 1978, some issues remain unresolved. Notably, the clinical management of patients with a poor ovarian response is still a challenge in everyday practice, frustrating to both the patient and the fertility expert. Poor ovarian responders (PORs) embody 9–24% of patients undergoing ovarian stimulation, meaning that up to one in four patients conceals a poor reproductive prognosis. The last decade has witnessed the attempts of the medical community to standardize diagnosis of POR with the developing of the Bologna Criteria and the subsequent evolution of the low prognosis patient elaborated in the POSEIDON classification. The aim of this article is to summarize all evidence concerning etiology and management of poor ovarian response, including the most recent advances and future prospects in this regard. SAGE Publications 2020-07-31 /pmc/articles/PMC7416136/ /pubmed/32844159 http://dx.doi.org/10.1177/2633494120941480 Text en © The Author(s), 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review
Drakopoulos, Panagiotis
Bardhi, Erlisa
Boudry, Liese
Vaiarelli, Alberto
Makrigiannakis, Antonis
Esteves, Sandro C.
Tournaye, Herman
Blockeel, Christophe
Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept
title Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept
title_full Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept
title_fullStr Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept
title_full_unstemmed Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept
title_short Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the Poseidon concept
title_sort update on the management of poor ovarian response in ivf: the shift from bologna criteria to the poseidon concept
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416136/
https://www.ncbi.nlm.nih.gov/pubmed/32844159
http://dx.doi.org/10.1177/2633494120941480
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