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Purpose To evaluate the value of elevated day 3 FSH/LH ratio in predicting IVF results in young and older women. Methods One hundred seventy-four women with normal day 3 FSH levels undergoing IVF treatment were studied. Patients were divided into two groups according to basal FSH/LH ratio: Group 1(FSH/LH ≥3, n043) and Group 2 (FSH/LH <3, n0131). The effects of FSH/LH ratio on IVF outcomes were compared. Also, the impact of elevated FSH/LH levels on younger (<35 years; n0113) and older (≥35 years; n061) women was evaluated. Results Group 1 had significantly lower mean day 3 LH levels (p00.001), lower number of oocytes retrieved (p00.004) and lower clinical pregnancy rate (p00.04). Older women with elevated FSH/LH ratio (n023) had significantly lower transferred good grade embryo counts (p00.04) and lower pregnancy rate (p00.03) versus older women with lower FSH/LH ratio. But in younger women treatment outcomes were similar in both subgroups. Conclusion Elevated day 3 FSH/LH ratio is useful in predicting IVF outcome in older women, but does not seem to be an accurate predictor in younger women.

Purpose To evaluate the value of elevated day 3 FSH/LH ratio in predicting IVF results in young and older women. Methods One hundred seventy-four women with normal day 3 FSH levels undergoing IVF treatment were studied. Patients were divided into two groups according to basal FSH/LH ratio: Group 1(FSH/LH ≥3, n043) and Group 2 (FSH/LH <3, n0131). The effects of FSH/LH ratio on IVF outcomes were compared. Also, the impact of elevated FSH/LH levels on younger (<35 years; n0113) and older (≥35 years; n061) women was evaluated. Results Group 1 had significantly lower mean day 3 LH levels (p00.001), lower number of oocytes retrieved (p00.004) and lower clinical pregnancy rate (p00.04). Older women with elevated FSH/LH ratio (n023) had significantly lower transferred good grade embryo counts (p00.04) and lower pregnancy rate (p00.03) versus older women with lower FSH/LH ratio. But in younger women treatment outcomes were similar in both subgroups. Conclusion Elevated day 3 FSH/LH ratio is useful in predicting IVF outcome in older women, but does not seem to be an accurate predictor in younger women.

Pelvic pain symptoms were not found to be related to endometrioma vascularization. On the other hand, we observed an association between higher vascularized endometrioma and the presence of dense pelvic adhesions.

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