The size of the pool of growing follicles was normal after prolonged down-regulation, as indicated by normal AMH levels 4 and 8 weeks after goserelin administration. However, there was a profound down-regulation of LH levels; therefore we suggest administration of exogenous LH to proceed to IVF or alternatively stimulation of endogenous LH secretion with daily administration of GnRH agonist. These need to be assessed prospectively.

译文

长时间下调后,卵泡生长池的大小正常,如戈舍瑞林给药后4周和8周正常的AMH水平所示。但是,LH水平有明显的下调; 因此,我们建议给予外源性LH进行IVF或通过每天给予GnRH激动剂来刺激内源性LH分泌。这些需要进行前瞻性评估。

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