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一名 McCune-Albright 综合征女性的 ART 成功案例:病例报告及文献复习。

Successful ART outcome in a woman with McCune-Albright syndrome: a case report and literature review.

机构信息

Department of Obstetrics, Gynecology and Reproductive Medicine, Foch Hospital, 92150, Suresnes, France.

出版信息

J Assist Reprod Genet. 2023 Jul;40(7):1669-1675. doi: 10.1007/s10815-023-02844-6. Epub 2023 Jun 6.

Abstract

McCune-Albright syndrome (MAS) is a rare genetic disease affecting multiple organs, including endocrine tissues. This endocrinopathy is sometimes responsible for infertility, as it may induce an independent functioning of the ovaries leading to anovulatory cycles. This case report describes the infertility journey of a 22-year-old female who had early puberty and irregular periods with high estrogen and progesterone levels, low FSH and LH (on day 3 of her menstrual cycle), and a multi-cystic right ovary. She received several infertility treatments: initially in vitro oocyte maturation (IVM) followed by cyst transvaginal ultrasound-guided aspiration, all unsuccessful. A right hemi-ovariectomy was performed that eventually restored regular cycles and made it possible to perform ovarian stimulation (OS) and in vitro fertilization (IVF). Live birth was obtained after the first embryo transfer.

摘要

McCune-Albright 综合征(MAS)是一种罕见的遗传疾病,影响多个器官,包括内分泌组织。这种内分泌疾病有时会导致不孕,因为它可能导致卵巢独立功能,导致无排卵周期。本病例报告描述了一名 22 岁女性的不孕历程,她青春期提前,月经不规律,雌激素和孕激素水平高,FSH 和 LH 水平低(月经周期第 3 天),右侧卵巢多囊。她接受了几次不孕治疗:最初是体外卵母细胞成熟(IVM),随后是囊肿阴道超声引导抽吸,但均未成功。进行了右侧半卵巢切除术,最终恢复了正常周期,并能够进行卵巢刺激(OS)和体外受精(IVF)。第一次胚胎移植后获得活产。

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