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Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 33-36

Live birth from TESA-ICSI in a modified natural cycle − A case report

Vatsalya IVF Centre, Kathmandu, Nepal

Correspondence Address:
Swati Kumari
Vatsalya Natural IVF, Narayanchaur, Naxal, Kathmandu 44600
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fsr.fsr_26_18

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Low ovarian reserve affects 10% of all women seeking fertility treatment. Management of patients with diminished reserve is challenging to fertility experts as they respond poorly to ovarian stimulation, and often such patients resort to oocyte donation. The number of births from natural cycle oocytes with surgically extracted sperm is low, but the case presented here describes a successful case in which a live pregnancy was achieved. In the treatment of a 36-year-old female with bilateral antral follicular count of one to two, two M II oocytes were obtained after modified natural cycle. The husband’s semen analysis showed severe infection with occasional dead sperms. The patient did not respond to antibiotics and due to unavailability of sperm on the day of oocyte extraction, the oocytes were vitrified. Sperms were subsequently extracted by TESA. The vitrified oocytes were warmed, and ICSI was performed on the same day. One eight-cell grade I embryo was formed on D3 which was transferred in a programmed hormone replacement cycle. Pregnancy was obtained and a healthy infant was delivered. Hence, in women with low ovarian reserve, the use of modified natural cycle may provide a good alternative to achieving pregnancy prior to considering oocyte donation.

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