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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="letter" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">JRI</journal-id>
<journal-title>Journal of Reproduction and Infertility</journal-title>
<issn pub-type="ppub">2228-5482</issn>
<issn pub-type="epub">2251-676X</issn>
<publisher>
<publisher-name>Avicenna Research Institute</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">JRI-15-170</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Letter to the Editor</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Letter to Editor on &#x201C;Correlation of the Day 3 FSH/LH Ratio and LH Concentration in Predicting IVF Outcome&#x201D;</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Morgante</surname>
<given-names>Giuseppe</given-names>
</name>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref>
</contrib>
</contrib-group>
<aff>Department of Obstetrics and Gynecology, University of Siena, Policlinico Santa Maria Le Scotte, Siena, Italy</aff>
<author-notes>
<corresp id="cor1"><label>&#x002A;</label> <italic>Corresponding Author:</italic> Giuseppe Morgante, Department of Obstetrics and Gynecology, University of Siena, Policlinico Santa Maria Le Scotte, 53100 Siena, Italy. <italic>E-mail:</italic> <email xlink:href="morgante@unisi.it">morgante@unisi.it</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Jul-Sep</season>
<year>2014</year>
</pub-date>
<volume>15</volume>
<issue>3</issue>
<fpage>170</fpage>
<lpage>170</lpage>
<permissions>
<copyright-statement>Copyright &#x00A9; 2014 Avicenna Research Institute</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<p>This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</p>
</license>
</permissions>
</article-meta>
</front>
<body>
<p>We read with interest the study by Prasad et al. (<xref ref-type="bibr" rid="CIT0001">1</xref>), on Correlation of Day 3 FSH/LH Ratio and LH Concentration in Predicting IVF Outcome. In this study, they demonstrated that elevated day 3 FSH/LH ratio is associated with inferior outcome in IVF treatment cycles and it could be used as an additional predictor of decreased ovarian reserve. Surprisingly, two of our clinically relevant studies went unnoticed. While studying patients undergoing COH for IVF, with a favorable prognosis a priori, day 3 FSH: LH ratio, but not LH level, was found to predict IVF treatment outcome. Moreover, the FSH/LH ratio cutoff levels differ between those using the GnRH-agonist or GnRH-anta-gonist COH protocols. We demonstrated that patients undergoing ovarian stimulation using the GnRH antagonist with FSH/LH ratios &#x003E;2, or using agonist protocols with FSH/LH ratios &#x003E;3, achieved significantly lower pregnancy rates (<xref ref-type="bibr" rid="CIT0002">2</xref>). Furthermore, in a subsequent study, we observed significantly higher number of top-quality embryos, and higher implantation and clinical pregnancy rates in patients undergoing COH for IVF, using HMG compared with rFSH (<xref ref-type="bibr" rid="CIT0003">3</xref>).</p>
</body>
<back>
<sec id="S0001">
<title>Conflict of Interest</title>
<p>The authors declare no conflict of interest.</p>
</sec>
<ref-list>
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</back>
</article>
