MANAGEMENT OF TRANSIENT OVARIAN FAILURE - PREGNANCY AFTER IN-VITRO FERTILIZATION AND INTRACYTOPLASMIC SPERM INJECTION - A CASE-REPORT

Purpose: The case history of a 36-year-old patient with transient ovar ian failure, presumably induced by previous ovarian surgery and a rece nt pelvic inflammatory disease, is described. Methods: During several months, the patient underwent transvaginal ultrasound and hormonal fol low-up. Ovulation was triggered by hCG in a cycle in which spontaneous follicular ripening had occurred. Transvaginal puncture of the single follicle was performed for in vitro fertilization. Results: One oocyt e was retrieved and fertilized by intracytoplasmic sperm injection, gi ving rise to a single good-quality embryo. A singleton pregnancy, whic h ended in the birth of a healthy daughter, was established. Conclusio ns: This case demonstrates that it is worthwhile to monitor patients w ith transient ovarian failure closely, and if other infertility factor s are present, IVF of one oocyte may be considered.