Outcomes of a pregnancy after fifteen cycles of treatment with IVF and ET

Astrit Malush Gashi

Abstract


In vitro fertilization and embryo transfer is the traditional method of infertility treatment, consisting of in vitro fertilization (IVF) and embryo transfer (ET) in the uterine cavity. Infertility is defined as the absence of pregnancy after regular unprotected intercourse throughout one year. The main causes of infertility are: ovulatory dysfunction, age and diminished ovarian reserve, male factors, tubal factors, uterine factors, cervical factors, immunological factors, systemic diseases (chronic and autoimmune diseases) and idiopathic factors. In our case, we are dealing with ovulatory dysfunction (PCOS). We present the case of a 32 year-old Kosovo with a twelve-year history of infertility, who was treated with fifteen cycles of long protocols of in vitro fertilization and embryo transfer and in spite of multiple issues throughout pregnancy, finally lead to a successful parturition. The patient was hospitalized in the Clinic of Obstetrics and Gynecology at Pathology Department for acute abdominal pain at 26 weeks of gestation after undergoing the in vitro fertilization and embryo-transfer procedure. The reference diagnosis was: olygohydramnios, pregnancy-induced hypertension, twelve-year history of primary infertility, history of fifteen IVF and ET.

Keywords


Infertility, ovulatory dysfunction, vitro fertilization, embryo transfer

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References


Gianaroli L, Racowsky C, Geraedts J et al. Best practices of ASRM and ESHRE: a journey through reproductive medicine. Fertil Steril 2012; 98(6):1380-1394.

Mascarenhas MN, Flaxman SR, Boerma T, et al. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med 2012; 9(12):e1001356.

Zegers-Hochschild F, Adamson GD, de Mouzon J, et al. The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary on ART terminology, 2009. Hum Reprod 2009; 24:2683–2687.

Rowe PJ, Comhaire FH, Hargreave TB, Mellows HJ. WHO manual for the standardized investigation and diagnosis of the infertile couple. Cambridge: Cambridge University Press,1993.

Cui W. Mother or nothing: the agony of infertility. Bull World Health Organ 2010 88(12):881–882.

Chachamovich JR, Chachamovich E, Ezer H, et al. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynaecol 2010; 31:101–110.




DOI: http://dx.doi.org/10.22551/2016.11.0302.10068

Copyright (c) 2016 Astrit Malush Gashi

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ISSN: 2360-6975