Interactive Session - How to Deal with Poor Responders?

Date:October 22, 2014

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. 

Learning Objectives
At the conclusion of this session, participants should be able to: 

  1. Review the various tests for ovarian reserve to best identify poor responders. 
  2. Compare the different stimulation protocols to treat poor responders with regard to efficacy, cost, and success rates. 
ACGME Competency
Patient Care 

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 reserve.
f. Not applicable to my area of practi


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