TY - JOUR ID - 45375 TI - Use of Follicular Output Rate to Predict Intracytoplasmic Sperm Injection Outcome JO - International Journal of Fertility and Sterility JA - IJFS LA - en SN - 2008-076X AU - Rehman, Rehana AU - Mustafa, Rozina AU - Baig, Mukhtiar AU - Arif, Sara AU - Hashmi, Muhammad Faisal AD - Department of Biological and Biomedical Sciences, The Aga Khan University, Karachi, Pakistan AD - Department of Obstetrics and Gynecology, United Medical and Dental College, Karachi, Pakistan AD - Department of Biochemistry, Faculty of Medicine, Rabigh, King Abdul Aziz University, Jeddah, Saudi Arabia AD - 4House Officer Civil Hospital, Karachi, Pakistan AD - 5House Officer, Services Hospital, Lahore, Pakistan Y1 - 2016 PY - 2016 VL - 10 IS - 2 SP - 169 EP - 174 KW - Intracytoplasmic Sperm Injection KW - Assisted Reproductive Techniques KW - Infer KW - tility KW - Ovarian follicles KW - Follicular Output Rate DO - 10.22074/ijfs.2016.4906 N2 - Background The measurement of follicular output rate (FORT) has been proposed as a good indicator for evaluating follicular response to the exogenous recombinant follicle- stimulating hormone (rFSH). This places FORT as a promising qualitative marker for ovarian function. The objective of the study was to determine FORT as a predictor of oocyte competence, embryo quality and clinical pregnancy after intracytoplasmic sperm injection (ICSI). Materials and Methods This prospective study was carried out on a group of infer- tile females (n=282) at Islamabad Clinic Serving Infertile Couples, Islamabad, Paki- stan, from June 2010 till August 2013. Downregulated females were stimulated in injection gonadotropins and on ovulation induction day, pre-ovulatory follicle count (PFC) was determined using transvaginal ultrasound scan (TVUS), and FORT was determined as a ratio of PFC to antral follicle count (AFC)×100. Group I consisted of females with a negative pregnancy test, while group II had a positive pregnancy test that was confirmed with the appearance of fetal cardiac activity. Linear regression analyses of categorical variables of clinical pregnancy along with other independent variables, including FORT, were performed using SPSS version 15.0. Results Pregnancy occurred in 101/282 women who were tested, recording a clinical pregnancy rate of about 35.8%. FORT values were higher in group II as compared to group I females (P=0.0001). In multiple regression analysis, 97.7, 87.1, 78.2, and 83.4% variations were explained based on the number of retrieved oocytes per patients, number of metaphase II oocytes retrieved, number of fertilized oocytes, and number of cleaved embryos, respectively, indicating FORT as an independent predictor. Conclusion FORT is a predictor of oocyte competence in terms of a number of retrieved, mature and fertilized oocytes. It also gives information about the number of cleaved em- bryos and clinical pregnancy rate. UR - https://www.ijfs.ir/article_45375.html L1 - https://www.ijfs.ir/article_45375_66b7290892db8a4fba8b501d93c46ed8.pdf ER -