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).