Transabdominal-transperitoneal ultrasound-guided oocyte retrieval in a patient with müllerian agenesis

Mark A. Damario

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Objective: To describe the approach of transabdominal-transperitoneal ultrasound-guided oocyte retrieval undertaken in a patient with müllerian agenesis and ovarian malposition who underwent a successful gestational carrier treatment cycle. Design: Case report. Setting: A tertiary-referral reproductive medicine unit. Patient(s): A 26-year-old patient with müllerian agenesis. Her 44-year-old mother served as the gestational carrier. Intervention(s): Controlled ovarian hyperstimulation, transabdominal-transperitoneal ultrasound-guided oocyte retrieval, embryo transfer. Main Outcome Measure(s): Oocyte recovery rate, fertilization rate, pregnancy test. Result(s): Six oocytes were retrieved using a percutaneous transperitoneal needle puncture under ultrasound guidance. Two cleavage-stage embryos were transferred to the gestational carrier, resulting in a twin pregnancy. Conclusion(s): For various reasons, patients with müllerian agenesis may not be candidates for standard transvaginal ultrasound-guided oocyte retrieval. Although laparoscopic oocyte retrieval has been frequently used in this setting, the approach of transbdominal-transperitoneal ultrasound-guided oocyte retrieval may offer further advantages in select cases.

Original languageEnglish (US)
Pages (from-to)189-191
Number of pages3
JournalFertility and Sterility
Volume78
Issue number1
DOIs
StatePublished - Jul 15 2002

Keywords

  • Gestational carrier
  • Müllerian agenesis
  • Oocyte retrieval
  • Ovarian malposition

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