Document Detail


An ongoing pregnancy from two waves of follicles developing during a long follicular phase of the same cycle.
MedLine Citation:
PMID:  20138269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report an ongoing pregnancy after in vitro fertilization (IVF) with ovarian stimulation using a gonadotropin-releasing hormone (GnRH) antagonist that resulted in two waves of follicular growth. DESIGN: Case report. SETTING: University of Toronto affiliated infertility clinic. PATIENT(S): A 33-year-old woman with a 3-year history of secondary infertility. INTERVENTION(S): In vitro fertilization and embryo transfer. MAIN OUTCOME MEASURE(S): Ongoing pregnancy. RESULT(S): This patient successfully conceived after the GnRH antagonist-induced demise of the first cohort of follicles and the emergence of a second wave of follicles followed by oocyte retrieval on cycle day 30 and fresh embryo transfer. CONCLUSION(S): This case report is consistent with previous observations of multiple waves of follicle recruitment and growth per cycle. The window of implantation may not be adversely affected by prolonged or even variable estrogen exposure in the follicular phase of the cycle.
Authors:
Yaakov Bentov; Navid Esfandiari; Asli Gokturk; Eliezer Burstein; Ofer Fainaru; Robert F Casper
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-25     Completed Date:  2010-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350.e8-11     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Toronto Centre for Advanced Reproductive Technology, Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Embryo Transfer* / methods
Female
Fertilization in Vitro / methods
Follicular Phase / drug effects,  physiology*
Gonadotropin-Releasing Hormone / antagonists & inhibitors
Hormone Antagonists / pharmacology
Humans
Ovarian Follicle / drug effects,  growth & development*
Ovulation / drug effects,  physiology*
Ovulation Induction* / methods
Pregnancy
Pregnancy Outcome
Chemical
Reg. No./Substance:
0/Hormone Antagonists; 33515-09-2/Gonadotropin-Releasing Hormone

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


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