Fertility and Sterility
Volume 95, Issue 1 , Pages 307-309, January 2011

GnRH-agonist induced depressive and anxiety symptoms during in vitro fertilization–embryo transfer cycles

Presented in part at the 13th Israel Society of Biological Psychiatry, Hagoshrim, Israel, March 3-5, 2009.

  • Miki Bloch, M.D.

      Affiliations

    • Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
    • Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Corresponding Author InformationReprint requests: Miki Bloch, M.D., Psychiatric Department, Tel Aviv Sourasky Medical Center, 6 Weizman St., Tel Aviv, Israel 64239 (FAX: 97236975774).
  • ,
  • Foad Azem, M.D.

      Affiliations

    • Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • IVF Unit, Lis Women’s Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
  • ,
  • Inbar Aharonov, M.Sc.

      Affiliations

    • Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
  • ,
  • Irit Ben Avi, Ph.D.

      Affiliations

    • Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
  • ,
  • Yaron Yagil, Ph.D.

      Affiliations

    • Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
  • ,
  • Shaul Schreiber, M.D.

      Affiliations

    • Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
    • Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
  • ,
  • Ami Amit, M.D.

      Affiliations

    • Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • IVF Unit, Lis Women’s Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
  • ,
  • Abraham Weizman, M.D.

      Affiliations

    • Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Geha Mental Health Center and the Laboratory of Biological Psychiatry, Felsenstein Medical Research Center, Petah Tikva, Israel

Received 16 June 2010; received in revised form 16 July 2010; accepted 16 July 2010. published online 31 August 2010.

To determine whether the use of a GnRH agonist inducing a hypogonadic state during IVF-ET cycles induces negative mood symptoms, we conducted a prospective randomized study in 108 women comparing two different controlled ovarian stimulation protocols. A significant phase effect was observed for depression and anxiety symptoms during IVF-ET cycles reflecting an increase in symptoms between the hypogonadal phase and the peak in gonadotropin stimulation; however, the hypogonadal phase induced by the GnRH agonist was not associated with a significant increase in any of the studied mood parameters.

Key Words: In vitro fertilization, GnRH agonist, estradiol, progesterone, depression, anxiety, mood

 

 M.B. has nothing to disclose. F.A. has nothing to disclose. I.A. has nothing to disclose. I.B.A. has nothing to disclose. Y.Y. has nothing to disclose. S.S. has nothing to disclose. A.A. has nothing to disclose. A.W. has nothing to disclose.

 M.B. and F.A. contributed equally to this article.

 Supported by the National Institute for Psychobiology in Israel.

PII: S0015-0282(10)02199-0

doi:10.1016/j.fertnstert.2010.07.1073

Fertility and Sterility
Volume 95, Issue 1 , Pages 307-309, January 2011