In fact, until recently, we used to offer the alternative of OD only after the cancellation of the no/poor response cycle and OD was planned a few months following the
cancelled cycle. However, the simple cancellation of the cycle is very distressful to the couple, time consuming and expensive.
"I know my body and my womb and I'd rather have a
cancelled cycle than another failed cycle.
The studies about the GnRH-ant in the treatment of POR resulted in reducing the amount of gonadotropins used, the length of the stimulation, the number of
cancelled cycles, and the overall cost normally associated with the long protocol and in increasing the number of oocytes retrieved with satisfactory pregnancy rates (10, 13-17).