The clomiphene citrate challenge test (CCCT) in women with elevated basal FSH: Biological significance and predictive value

Guido Ragni, Francesca Chiaffarino, Claudia Scarduelli, Silvia Bonetti, Anna Elisa Nicolosi, Mariangela Arnoldi, Edgardo Somigliana

Research output: Contribution to journalArticle

Abstract

Objective: The rationale of the clomiphene citrate challenge test (CCCT) is that day 10 serum FSH is influenced by the quality of the recruited oocytes. Biological evidence supporting this assumption is, however, lacking. The aim of this study is to investigate the relationship between results from the CCCT and the quantity and the quality of the recruited oocytes. Study design: Patients selected for in vitro fertilization (IVF) and who were found to have elevated basal FSH (n = 114) underwent an IVF cycle using follicles developing during CCCT. Subsequently, a subgroup of patients (n = 89) underwent a second cycle receiving high doses of gonadotropins. The main outcome considered was the transfer of viable embryos. Results: During the CCCT cycle, the area under the receiver operating characteristics (ROC) curves for day 3 and day 10 serum FSH to predict embryo-transfer was 0.48 (95% CI, 0.37-0.60) and 0.74 (95% CI, 0.63-0.82), respectively. In the subsequent cycle, the area under the ROC curves for the two variables was 0.58 (0.43-0.72) and 0.58 (0.43-0.72), respectively. Conclusions: CCCT effectively mirrors the quantity and the quality of the recruited oocytes but its predictive value is low.

Original languageEnglish
Pages (from-to)44-48
Number of pages5
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume141
Issue number1
DOIs
Publication statusPublished - Nov 2008

Keywords

  • Clomiphene citrate challenge test (CCCT)
  • Oocyte quality
  • Ovarian reserve

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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