Table 1. Triggers based on predicted ORPI levels during cycles where follicle rupture was inhibited with a GnRH antagonist or progestogen.
ORPI
RANGE
VALUES OOCYTE(n) TRIGGER ADVISED
A <0.25 ≤3 hCG (5,000-6,500IU) + GnRHa*
B ≥0.25 - <0.9 4-5 hCG (5,000-6,500IU) + GnRHa*
C/D ≥0.9 - <1.7 6-14 hCG (2,500-3,250IU) + GnRHa*
E ≥1.7 ≥16 hCG (1,500IU) + GnRHa* or GnRHa* alone + freezing all

* Usually 0.2-0.3 mg of triptorelin (Gonapeptyl).