Objective:To determine serum and follicular leptin levels in patients using gonadotropin releasing hormone agonist and antagonist in Assisted Reproductive Technology short protocol cycles and to evaluate pregnancy outcomes.
Material and Methods:Patients randomly selected to join assisted reproductive technology cycles during February 2004-July 2004 were enrolled in this study. Group 1 consisted of 21 patients receiving r FSH+ GnRH agonists, whereas Group 2 consisted of 34 patients who received r FSH +GnRH antagonists. During the ovulation induction period 5 serum samples were collected (induction day 1, day 3 or antagonist starting day, human chorionic hormone day, oocyte pickup day, and twelfth day of embryo transfer). Follicular fluid samples were collected to be evaluated for leptin, estradiol, prolactin and luteinizing hormone.Results: There was no difference in age, basal FSH, basal LH, and basal E2 between groups. Serum leptin levels were similar in both groups. Also, when each group's serum leptin levels were evaluated according to the presence of pregnancy, there was no significant difference in both groups. When follicle leptin levels were evaluated according to the existence of pregnancy, in both groups the follicle leptin levels were lower in pregnant participants but this difference was not statistically significant. When obesity is defined as body mass index over 26.5, there is a correlation between obesity and leptin levels in Group 2.
Conclusion:Our results have shown that both agonists and antagonists have similar efficacy and effect in poor responder women. Leptin levels in either groups, whether pregnant or non-pregnant were not statistically different. This result shows the need for more studies on leptin in infertility. (J Turkish-German Gynecol Assoc 2012; 13: 91-7)Key words: GnRH agonist, GnRH antagonist, ART, leptin, prolactin Received: 10 January, 2012 Accepted: 19 January, 2012 Amaç: Yardımcı Üreme Teknikleri (YÜT) ile kısa protokol uygulanan sikluslarda gonadotropin salgılatıcı hormon (GnRH) agonist ve antagonist uygulanan olgularda serum ve foliküler leptin seviyelerinin belirlenmesi ve gebelik sonuçlarının değerlendirilmesidir. Bulgular: Gruplar arasında yaş, bazal FSH, bazal LH ve bazal E2 açı-sından fark izlenmedi. Serum leptin düzeyleri her iki grupta benzer idi. Ayrıca her grupta gebelik varlığına göre serum leptin seviyeleri değer-lendirildiğinde gruplar arasında fark izlenmedi. Folikül leptin seviyeleri gebelik mevcudiyetine göre değerlendirildiğinde her iki grupta da folikül leptin seviyeleri gebe olgularda daha düşük olmasına rağmen bu fark istatistiksel olarak anlamlı değildi. Obesite vücut kitle indeks değerinin 26.5 üzerinde olması olarak tanımlandığında Grup 2'de leptin seviyeleri ile obesite arasında korelasyon mevcut idi.
Gereç ve Yöntemler:Sonuç: Sonuçlarımız düşük cevaplı olgularda hem agonistlerin hem de antagonistlerin benzer etkinlik ve etkiye sahip olduğunu göstermiş-tir. Her iki grupta da leptin seviyeleri gebe olanlarda veya olmayanlarda istatistiksel olarak...