Live birth after in vitro maturation in women with gonadotropin resistance ovary syndrome: report of two cases

促性腺激素抵抗卵巢综合征妇女体外成熟后活产两例报告

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作者:Ho Long Le, Vu Ngoc Anh Ho, Tam Thi Ngan Le, Van Thi Thu Tran, Mai Pham Que Ma, Anh Hoang Le, Linh Khanh Nguyen, Tuong Manh Ho, Lan Ngoc Vuong

Conclusions

These results suggest that IVM should be a first-line therapeutic option for patients with GROS.

Methods

Both patients had primary infertility, amenorrhea (primary and secondary), typical secondary sexual characters, elevated gonadotropin levels, normal ovarian reserve, normal chromosomal characteristics, and previous nonresponsiveness gonadotropin stimulations. One patient had polymorphism of the follicle-stimulating hormone receptor, which is a predictor of poor ovarian response. Given unresponsiveness to exogenous gonadotropin stimulations, IVM with human chorionic gonadotropin priming (hCG-IVM) was performed in both patients. All transferrable embryos were vitrified.

Purpose

Gonadotropin-resistant ovary syndrome (GROS) is a rare endocrine disorder that causes hypergonadotropic hypogonadism, amenorrhea, and infertility. This study reports live birth in two women with GROS who underwent fertility treatment with in vitro maturation (IVM).

Results

Both patients achieved pregnancy after their first frozen embryos transfer, and each delivered a healthy baby boy. Conclusions: These results suggest that IVM should be a first-line therapeutic option for patients with GROS.

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