Document Detail

Spontaneous pregnancy in a woman with premature ovarian failure: a case report.
MedLine Citation:
PMID:  15656218     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Women with premature ovarian failure often receive hormonal replacement therapy as part of the management strategy. However, it is very unusual for patients to become pregnant while on hormonal therapy. CASE: A 33-year-old woman with a history of infertility and secondary amenorrhea was diagnosed with premature ovarian failure. Part of her infertility workup included laparoscopy-hysteroscopy, a dye test with methylene blue, and endometrial and bilateral ovarian biopsy. Two months after completion of this procedure, the patient underwent sonography, which showed an intrauterine pregnancy at 14 weeks' gestation. The pregnancy continued to term, and a healthy infant was born. CONCLUSION: In most instances the etiology of premature ovarian failure is unknown. In rare cases this condition undergoes spontaneous, reversible remission. One interesting observation in our patient is that despite the performance of invasive diagnostic tests, there were minimal detrimental effects on the patient's pregnancy and infant. This case illustrates that the remote possibility of a spontaneous pregnancy in women with prema- ture ovarian failure should always be considered, and invasive diagnostic procedures should be performed when an intrauterine pregnancy is ruled out with certainty.
Victor Vital-Reyes; Sergio Tellez-Velasco; David Chhieng; William Grizzle; Alejandro Reyes-Fuentes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  49     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-01-19     Completed Date:  2005-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  989-91     Citation Subset:  IM    
Department of Biology of Reproduction, Hospital de Ginecologia y Obstetricia Numero 3, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
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MeSH Terms
Infertility, Female
Ovarian Failure, Premature*
Remission, Spontaneous

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