TY - JOUR
T1 - Controlled ovarian stimulation and IVF pregnancy in a trisomy X carrier with associated hypogonadotropic hypogonadism
AU - Massarotti, Claudia
AU - Fiorio, Patrizia
AU - Gastaldi, Roberto
AU - Rosaia De Santis, Lucia
AU - Pastorino, Daniela
AU - Remorgida, Valentino
AU - Anserini, Paola
N1 - Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2017/10/3
Y1 - 2017/10/3
N2 - We describe successful controlled ovarian stimulation (COS) and the first known IVF pregnancy in a trisomy X carrier with associated hypogonadotropic hypogonadism (HH) linked to a chromosome 4 double mutation in the allele of the Gonadotropins Releasing Hormone receptor (GnRHr) gene. Previous administration of low dose of gonadotropins, as recommended in patients with HH, led to poor follicular recruitment. Since trisomy X is a risk factor for diminished ovarian reserve (DOR) and premature ovarian insufficiency (POI), higher doses of gonadotropins led to better ovarian response. The report readknowledges the importance of a correct genetic evaluation in a competent laboratory as a reliable base for treatment planning in this kind of patients.
AB - We describe successful controlled ovarian stimulation (COS) and the first known IVF pregnancy in a trisomy X carrier with associated hypogonadotropic hypogonadism (HH) linked to a chromosome 4 double mutation in the allele of the Gonadotropins Releasing Hormone receptor (GnRHr) gene. Previous administration of low dose of gonadotropins, as recommended in patients with HH, led to poor follicular recruitment. Since trisomy X is a risk factor for diminished ovarian reserve (DOR) and premature ovarian insufficiency (POI), higher doses of gonadotropins led to better ovarian response. The report readknowledges the importance of a correct genetic evaluation in a competent laboratory as a reliable base for treatment planning in this kind of patients.
KW - Controlled ovarian stimulation
KW - genetics
KW - hypogonadotropic hypogonadism
KW - infertility
KW - trisomy X
UR - https://www.scopus.com/pages/publications/85019105040
U2 - 10.1080/09513590.2017.1323202
DO - 10.1080/09513590.2017.1323202
M3 - Article
SN - 0951-3590
VL - 33
SP - 763
EP - 765
JO - Gynecological Endocrinology
JF - Gynecological Endocrinology
IS - 10
ER -