“…Recently, the evaluation of the expression of LHR messenger RNA in granulosa cells of superstimulated and single, naturally occurring dominant follicles 12 hours after progesterone device removal revealed that expression of LHR was decreased in superstimulated follicles [29]. As a result, follicles following the conventional 4-day FSH superstimulation protocol appeared to be less mature and less responsive to LH when compared to a naturally occurring, single dominant follicle [27]. In this regard, studies evaluating the expression of these genes in granulosa cells of follicles undergoing extended FSH support (analogous to present study) may provide valuable insight into the mechanisms underlying the observed improvement in superovulatory response [19,26,27].…”