Document Detail


Inadvertent recombinant human follicle stimulating hormone bolus instead of human chorionic gonadotrophin leads to the retrieval of competent oocytes in IVF program.
MedLine Citation:
PMID:  19732874     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present a case where recombinant human FSH (r-hFSH) was accidentally used instead of hCG and resulted in oocyte maturation. DESIGN: Case report. SETTING: A tertiary infertility center. PATIENT(S): A 36-year-old woman underwent IVF for infertility problems. The couple was unable to obtain a pregnancy during the previous 2 years. INTERVENTION(S): Oocyte retrieval after a r-hFSH bolus (two vials of Gonal-F 1050 IU) instead of the routinely used hCG. MAIN OUTCOME MEASURE(S): Oocyte maturity evaluation, fertilization after intracytoplasmic sperm injection, cleavage stage, and embryo quality. RESULT(S): A total of nine oocytes were retrieved; eight were metaphase II. Three eggs were fertilized by intracytoplasmic sperm injection, and four of the remaining MII oocytes were cryopreserved. All three oocytes fertilized and developed to three good-quality embryos that were transferred on day 2. No pregnancy was obtained from this fresh transfer cycle or from transferred embryos resulting from the thawing cycle. CONCLUSION(S): A massive r-hFSH administration can lead to the retrieval of mature MII oocytes that are able to fertilize and give good-quality embryos to transfer.
Authors:
Veronica Bianchi; Luca Dal Prato; Andrea Maccolini; Silvia Mazzone; Andrea Borini
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-03
Journal Detail:
Title:  Fertility and sterility     Volume:  92     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2009-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1747.e1-3     Citation Subset:  IM    
Affiliation:
Tecnobios Procreazione, Centre for Reproductive Health, Casa di Cura Città di Udine, Udine, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chorionic Gonadotropin / therapeutic use
Drug Administration Routes
Drug Administration Schedule
Female
Fertilization in Vitro / methods*
Follicle Stimulating Hormone / administration & dosage,  therapeutic use*
Humans
Infertility / drug therapy*
Medication Errors*
Oocyte Retrieval
Oocytes / cytology,  drug effects,  physiology
Ovulation Induction / methods*
Pregnancy
Recombinant Proteins / therapeutic use
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 0/Recombinant Proteins; 9002-68-0/Follicle Stimulating Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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