Interactive Session - How to Deal with Poor Responders?
Time:1:15 pm - 2:15 pm
Location:HCC315 - Hawaii Convention Center
Suheil J. Muasher, M.D. (Chair), Duke University
Rony T. Elias, M.D., Weill Cornell Medical College
(Case Presentations with Audience Response)
Needs Assessment and Description
Poor responders remain a challenge for practitioners
offering assisted reproductive technologies. There is no
universally agreed-upon definition for these patients.
Multiple tests to assess ovarian reserve have been proposed
to identify these patients prior to their first in vitro
fertilization (IVF) cycle. Different strategies and ovarian
stimulation protocols exist in the literature to handle these
patients in order to achieve the best results. There is a need
to continually update and educate IVF practitioners on the
best strategies to identify and treat these patients.
At the conclusion of this session, participants should be
- Review the various tests for ovarian reserve to best
identify poor responders.
- Compare the different stimulation protocols to treat
poor responders with regard to efficacy, cost, and
After participating in this session, in my practice I will:
a. Stimulate all my in vitro fertilization (IVF) patients
with the same protocol and use one starting dose of
gonadotropins for all patients.
b. Perform one or multiple tests for ovarian reserve before
choosing the stimulation protocol.
c. Offer intrauterine insemination for patients with
unexplained infertility and poor ovarian reserve due to
the low success rates for these patients with IVF.
d. Not accept patients with a history of poor ovarian
reserve from a prior IVF treatment cycle.
e. Use one protocol for all patients with poor ovarian
f. Not applicable to my area of practi