Letter to the editor/comments on "the conversion to IUI versus continuance with IVF in low responder patients" by Fujii et al. Eur J Obstet Gynecol Reprod Biol 2018 Aug; 227:35-40
Résumé
We have read with great interest the systematic review by Fujii et al. [1] which compares conversion to IUI to continuation with IVF in poor responders (POR) to controlled ovarian stimulation (COS). The authors thoroughly reviewed all studies comparing the two strategies in patients with ≤4 follicles following COS, and concluded that “continuation with IVF offers the best chance at live birth (LB) but not clinical pregnancy when ≥2 follicles develop”. We would like to thank the authors for the extensive review of an important issue that could be helpful for everyday practice, but we believe the results should be interpreted with caution.