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Study aim
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Determining the effect of Pyridostigmine on controlled ovarian stimulation cycles in individuals with poor ovarian response
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Design
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This is a phase III, randomized, single-blind, parallel-group, placebo-controlled clinical trial conducted on 110 patients.
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Settings and conduct
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This RCT will be conducted at the infertility and IVF clinic in Imam Khomeini Hospital, TUMS. As the patients in the intervention group are blinded to the other group type and will be separately subjected to the intervention, the intervention will be single-blind.
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Participants/Inclusion and exclusion criteria
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Women with a history of poor response to ovarian stimulation in previous cycles who are willing to undergo a new cycle are eligible to participate in this study. However, individuals with a body mass index greater than 30, respiratory diseases (such as asthma, chronic obstructive pulmonary disease), renal disease, slow or irregular heartbeat, a history of slow bowel movements and constipation (due to the possibility of delayed drug metabolism), or metabolic disorders, taking any other cholinergic drug and/or psychotropic medications and corticosteroids, suffering from stage III-IV endometriosis, or having a history of any allergic reactions, will not be included in this study.
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Intervention groups
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After obtaining informed consent, the patients will be randomly assigned to two groups, A and B. Group A or the intervention group will receive controlled ovarian stimulation treatment with Pyridostigmine at a dose of 120 mg (two 60 mg tablets) orally per day starting from day 1 of the stimulation cycle and will continue until the trigger HCG injection. Group B or the control group will receive routine treatment, which consists of daily administration of a maximum of 150 units of gonadotropin.
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Main outcome variables
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Retrieved Oocytes