Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 145

Adam H. Balen

Leeds Fertility, Leeds, UK

Case History 1: A 28‐year‐old woman attends to commence a cycle of ICSI because her partner has severe oligospermia. She is healthy, with a regular menstrual cycle, a normal body weight and no clinical stigmata of PCOS. Her baseline endocrine profile is normal. On a baseline ultrasound scan she is found to have polycystic ovaries.

Case History 2: A 29‐year‐old woman with classical PCOS attends to commence a cycle of IVF. She has oligomenorrhea, hirsutism, a BMI of 28, a normal total testosterone and polycystic ovaries on ultrasound scan. She has already undergone ovulation induction with clomiphene citrate but did not ovulate. Subsequent treatment with low dose step‐up gonadotropin therapy achieved ovulation but no pregnancy after six cycles of treatment, hence the plan for IVF.