Abstract

The use of GnRH agonists to trigger final follicle maturation in fresh IVF/ICSI cycles is associated with suboptimal reproductive outcomes due to a short LH surge duration. Few studies have reported on the use of repeat GnRH agonist triggering for the purpose of enhancing the efficiency of LH-dependent events during IVF/ICSI cycles. The purpose of this study is to address an existing knowledge gap by investigating whether the use of a three-dose GnRH agonist strategy improves IVF/ICSI outcomes in hyper responders undergoing fresh embryo transfer.

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