IN VITRO FERTILIZATION TREATMENT ON A PATIENT WITH ENDOMETRIOMA, PREGNANCY PERIOD AND THE IMPORTANCE OF SURGERY IN OVARIAN RESERVE: A CASE REPORT

Year 2016, Volume: 3 Issue: 2, 49 - 53, 01.06.2016

Emek Görgün Vedat Uğurel

Abstract

Aims: Endometriosis is an illness which is characterized by the estrogen-dependent endometrial tissue localizing
on the non-cavity of the uterus. Endometrioma is the cystic mass growing in the ovaries caused by endometriosis. In
this case report, the securing of pregnancy on a patient diagnosed with endometrioma after undergoing three in vitro
fertilization attempt and reducing ovarian reserve and its relation with endometrioma was presented with literature.
Case Report: In vitro fertilization treatment was applied three times on a 30-year-old patient with endometrioma
in the right ovary and a history of hypothyroidism and asthma. The patient became pregnant in the 3rd attempt
of in vitro fertilization. In different periods of the pregnancy, the patient was treated for vaginal bleeding. In this case
report, in vitro fertilization treatment was decided on the patient who consulted our center because of infertility. In
the first and the second cycle of in vitro fertilization, the fertility could not be successful. In the third cycle, the pregnancy
was conceived by transferring of the frozen embryo from the first trial. Because of the miscarriage threat, the
patient was hospitalized three times but now she is 26 weeks pregnant and the follow-ups continue.
Conclusion: In some cases, surgery is thought to be useful before in vitro fertilization treatment. However, without
the recommendation of any operation, our patient was successfully conceived with the frozen embryos from
the first trial in vitro fertilization treatment. It can be thought that doing an operation and the time passed after the
operation can cause ovarian reserve to decrease more.

Keywords

Endometrioma, in vitro fertilization, progesterone, ovarian reserve