LEAVE US YOUR MESSAGE
contact us

Hi! Please leave us your message or call us at 01.800.123.456

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form

BLOG

MPA in COH as a solution to Endometriosis Patients using IVF

October 14, 2017
Katie Visco
MPA Solution

Over 7 million women across the United States struggle with infertility. A new study reports a method of In Vitro Fertilization designed to provide hope for the 20-40% of women whose infertility stems from endometriosis. This new technique, called medroxyprogesterone acetate controlled ovarian hyperstimulation, or "MPA in COH" was recently published in the journal Nature Scientific Reports and shows promise for women struggling to get pregnant related to endometriosis.

  • Typical IVF for women with endometriosis uses Gonadotropin-releasing hormone agonist, or GnRh-a, to assist in egg implantation, but produces hormones that weigh against a woman's likelihood to become pregnant.
  • In this study, Medroxyprogesterone Acetate, or MPA, proved a worthy alternative to progestin used in COH during IVF when combined with human menopausal gonadotrophin, or hMG.
  • Treatment led to more mature eggs and higher quality embryos in women with endometriosis.

The Problem with Traditional COH in Endometriosis Patients

Over-production of Hormones Counteractive in GnRh-a Treatments

Many times, IVF is done with Controlled Ovarian Hyperstimulation, or COH, which stimulated the production of eggs within many follicles. GnRh-a in IVF treatment has successfully been used to increase fertility in women struggling with endometriosis. GnRh-a treatment, however, is known to produce excess hormones like estrogen and progesterone--hormones that when in high levels are known to decrease a woman's likelihood to become pregnant. Since progesterone and synthetic progesterone, called progestins, are commonly used in IVF treatment for women with endometriosis, the GnRh-a and progestin treatments may counteract one another. In other words--common endometriosis treatments decrease the likelihood for women to create healthy eggs during Controlled Ovarian Hyperstimulation.

MPA in COH for Endometriosis Patients Receiving IVF: A Study

Researchers Look for Solution to Create Healthy Eggs in Endometriosis Patients

What researchers sought to do was find an alternative to progestin that would not counteract GnRh-a treatments, but would still have the same effects of mature egg creation. Their solution: MPA, or medroxyprogesterone acetate used in COH. The study looked at 224 women with advanced endometriosis who were already receiving COH. MPA was combined with human menopausal gonadotrophin, or hMG in hope that a woman receiving IVF with endometriosis could increase her chances of achieving a successful pregnancy. The study divided the women into three groups:

  1. MPA in COH patients who underwent surgery for cysts called "ovarian endometrioma"
  2. MPA in COH patients who underwent aspiration for cyst removal
  3. Control group

MPA in COH Shows Hope for Healthier, Mature Eggs

A Potential Solution to Increase Pregnancy Rates for Women with Endometriosis

The study showed great results for the groups receiving MPA treatments. MPA in COH resulted in more mature eggs and healthier, higher-quality embryos within both test groups than in the control group. These mature, quality eggs are the results the researchers were looking to produce for their endometriosis patients. The fertilization, successful implantation, and pregnancy outcomes between the three groups were similar, and among both MPA groups, the egg and embryo outcomes were similar. MPA in COH, due to the success of this trial, is likely to be considered as an alternative to traditional GnRH-a treatments, meaning new hope for endometriosis patients struggling with infertility.

...

Also worth a read
News

State of Illinois to Pay for Egg Freezing in the Face of Disease

The diagnosis of cancer and/or another life threatening and changing disease can be devastating. Facing the loss of one’s health coupled with fear of the unknown, all the while needing to make decisions big and small about what best course of action is needed to achieve the best result, leaves little time for anything else...
Pregnancy

Is Osteoporosis Pregnancy Safe?

For those of you who don't know, osteoporosis is a bone disease that can affect bone density and cause fractures. It isn't a disease that is commonly tested in young women, but you are at a higher risk if you have experienced eating disorders, arthritis or excessive steroid use...
Fertility Support

Signs of Infertility

If you want to have kids someday, it's a good idea to get to know your body. Issues with fertility can begin anytime after puberty...
easy finder