Abstract

Infertility is a unique medical condition because it involves a couple rather than a single individual. Both the prevalence of infertility and the number of patients seeking the treatment of this disorder are increasing. Although it is not a physically debilitating disease; infertility may severely affect the couples psychological, sexual and social life. From literature we found that agonist protocol has taken long time in treating the patient and not used for polycystic patient because of risk of hyperstimulation while antagonist protocol take less time and less drug cosumed and has advantages in polycystic ovaries patient,. In our study on 241 patients who admitted for ICSI and started their ovarian stimulation by HMG or FSH without pituitary down regulation protocol + single dose orgalutran (GnRH antagonist Ganirelix acetate) we find that pregnancy outcome same as in the other protocols with less side effects, good quality and excellent embryos, with low cost to the patient.

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