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Socolov, R; Ebner, T; Gorduza, V; Martiniuc, V; Angioni, S; Socolov, D.
Self-oocyte activation and parthenogenesis: an unusual outcome of a misconducted IVF cycle.
Gynecol Endocrinol. 2015; 31(7):529-530 Doi: 10.3109/09513590.2015.1062861 (- Case Report)
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Ebner Thomas
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Abstract:
A rare cause of infertility is the lack of fertilisation with the spontaneous activation of oocytes, leading to parthenogenesis. We present such a case. The patient was a G1P0 38-year-old woman of African ethnicity, who requested an in vitro fertilisation (IVF) with donor sperm. She received a stimulation protocol of 75 IU of FSH/LH from day 3 of the cycle, which she interrupted after 2 d, and restarted with the same dosage for another 3 d from day 7, plus one administration of GnRH antagonist in day 10 of the cycle. With a follicle reaching 19 mm on day 11, estradiol of 325 ng/ml, ovulation was induced with hMG 5000 UI, and oocyte pick-up performed at 30 h. One oocyte was retrieved, and good-quality sperms were added to the insemination procedure. No fecundation occurred at 20 h, with the extruded oocyte separated from the granulosa wall. At 40 h and 64 h the aspect was of three cells, one cell with one nucleus, the others with high granulation and no visible nuclei. This case shows an unusual self-activation oocyte in a poorly managed IVF cycle. The patient will be further evaluated, to decide if a better managed stimulation protocol would prevent recurrence.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Female -
Fertilization in Vitro -
Humans -
Oocytes -
Ovulation Induction -
Parthenogenesis - physiology
Treatment Failure -

Find related publications in this database (Keywords)
Incorrect hormonal treatment
IVF failure
oocyte self-activation
parthenogenesis
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