The efficiency of using menotropins in the general patient population in the IVF protocols in the Northwestern Region of Russia

Gerkulov D.A., Kalugina A.S.

1) I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia, Saint Petersburg, Russia; 2) Skyfert Clinic of Reproduction, Saint Petersburg, Russia
Objective: To evaluate the clinical efficiency and safety of using highly purified human menopausal gonadotropins (HP hMG) in the IVF protocols in existing clinical practice in the protocols with GnRH agonists and antagonists in the Northwestern Region of Russia.
Materials and methods: A multicenter open-label observational study was conducted in 13 centers in the Northwestern Region of Russia. During 3 years from 2017 to 2020, the study enrolled 1504 patients aged 20 to 43 years who were treated for infertility by assisted reproductive technologies (IVF).
Results: There were high clinical pregnancy rates per started cycle (50.0%), high live birth rate per embryo transfer (43.1%), with a low transfer cancellation rate (5.4%), including an extremely low risk for ovarian hyperstimulation syndrome (1.4%).
Conclusion: Taking into account the high efficacy and safety, the authors can recommend the use of HP hMG as first-line drugs of choice in the general population when stimulating superovulation in the IVF protocols.

Authors’ contributions: Gerkulov D.A. – collection and analysis of literary data, analysis of research data, writing the article; Kalugina A.S. – editing the manuscript of the article and approval of publication.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent for Publication: All patients provided informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Gerkulov D.A., Kalugina A.S. The efficiency of using menotropins in the general patient population in the IVF protocols in the Northwestern Region of Russia.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (2): 134-139 (in Russian)


human menopausal gonadotropin
ovarian stimulation


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Received 30.01.2023

Accepted 10.02.2023

About the Authors

Dmitry A. Gerkulov, PhD, Skyfert Reproduction Clinic,, 191186, Russia, St. Petersburg, Nevsky Ave., 22-24.
Alla S. Kalugina, Dr. Med. Sci., Professor, Department of Obstetrics, Gynecology and Neonatology, Pavlov First Saint Petersburg State Medical University,
Ministry of Health of Russia; obstetrician-gynecologist, reproductologist, General Director, Skyfert Reproduction Clinic, 191186, Russia, St. Petersburg, Nevsky Ave., 22-24.

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