Patients will have periodic fasting for 4 weeks prior to the treatment cycle. The fasting method involves daily fasts of 14-16hours and restrict eating to an 8-10 hour "eating window" as 2-3 or more meals of balanced diet. They should take adequate water and non calorie beverages intake daily (2-3 liters)

no fasting, patients will have usual balanced diet as 3 meals and 2 snacks all over the day. They should take adequate water and non calorie beverages intake daily (2-3 liters)

Infertility

Periodic fasting last for 4weeks prior to the treatment cycle. The fasting method involves daily fasts of 14-16hours and restrict eating to an 8-10 hour "eating window" as 2-3 or more meals of balanced diet. Patients should take adequate water and non calorie beverages intake daily (2-3 liters).

Fasting

Patients will not fast . But they will take balanced food and drink 2 to 3 liters of water and non caloric drinks all the day for 4 weeks

No fasting

KasrELAiniH

Effect of Fasting on ICSI Outcomes in Poor Responders

detection of gestationalsac, embryonal pole and fetal pulsations by ultrasonography

The weight in kilograms divided by the squared height in meters

The ratio of waist circumference in centimeters to the hip circumference in centimeters

Insulin level in serum after fasting for 8 hours measured as mIU/ml

total number of ampoules of gonadotrophins

number of cases with positive pregnancy test with no clinical pregnancy

presence of two gestational sacs detected by ultrasonography

number of abortions clinically detected per cycle

the presence of gestational sac outside the uterine cavity detected by ultrasound

asthenozoospermia/triglyceride

Effect of Fasting on ICSI Outcomes in Poor Responders

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