Abstract
It is unfortunate that we do not have an Alfred Tennyson to describe our efforts, but we fancy ourselves modern knights as we too seek a Holy Grail in the form of a universal stimulation protocol which can apply to all patients and which can produce many fertilizable eggs and a pregnancy and term delivery rate better than natural fecundity. Does such a holy stimulation exist? The main purpose of this exercise is to examine that question in the context of stimulation with gonadotropins, the topic assigned to me by the organizing committee.
“And there sat Arthur on the dais throne.
…What is it?
The phantom, of a cup that comes and goes?’
‘Nay, what phantom?’ answered Percival.
The cup, the cup itself from which our Lord
Drank at the last sad supper, and if a man
Could touch or see it, he was healed at once.
And now the Holy Thing is here again
Among us; fast thou too and pray
And tell thy brother knights to fast and pray
That so perchance the vision may be seen
By thee and those, and all the world be healed!”
(From Idylls of the King)
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References
G.S. Jones, The use of human menopausal gonadotropin for ovulation stimulation in patients for in vitro fertilization, Infertility, 6:11 (1983).
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H.W. Jones, Jr., Oocyte recruitment with human menopausal gonadotropin (hMG) and follicle stimulating hormone (FSH), in: “The Control of Follicle Development, Ovulation and Luteal Function: Lesions from In Vitro Fertilization,” F. Naftolin and A.H. De Cherney, eds., Raven Press, New York (1987).
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A.P. Ferraretti, J.E. Garcia, A.A. Acosta, and G.S. Jones, Serum luteinizing hormone during ovulation induction with human menopausal gonadotropin for in vitro fertilization in normally menstruating women, Fertil. Steril., 40:742 (1983).
S.J. Muasher, S. Oehninger, S. Simonetti, J. Matta, L.M. Ellis, H.- C. Liu, G.S. Jones, and Z. Rosenwaks, The value of basal and/or stimulated serum gonadotropin levels in prediction of stimulation response and in vitro fertilization outcome, Fertil. Steril., 50:298 (1988).
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© 1990 Plenum Press, New York
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Jones, H.W., Jones, G.S., Muasher, S.J., Jones, D. (1990). Is There a Best Stimulation Protocol?. In: Mashiach, S., Ben-Rafael, Z., Laufer, N., Schenker, J.G. (eds) Advances in Assisted Reproductive Technologies. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0645-0_1
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DOI: https://doi.org/10.1007/978-1-4613-0645-0_1
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