Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 204

Spyros Chouliaras1 and Luciano G. Nardo2

1 Sidra Medicine; and Weill Cornell Medicine, Doha, Qatar

2 Reproductive Health Group, Daresbury and Manchester Metropolitan University, Manchester, UK

Case History 1: A 35‐year‐old woman with a history of primary infertility was seen in the reproductive medicine clinic. Her anti‐Müllerian hormone (AMH) and the semen analysis of her partner were within normal range. Transvaginal pelvic ultrasound scan found she had bilateral ovarian cysts with features of endometriomas (low‐level echoes). The left ovarian cyst measured 2.8 × 2.5 × 2.3 cm and the right ovarian cyst measured 3.7 × 2.5 × 2.4 cm.

Case History 2: A 40‐year‐old woman with a 3 year history of primary infertility is known to suffer from endometriosis. She had a laparoscopic right ovarian cystectomy 2 years previously. The initial investigations found an AMH of 1.2 pmol/l as well as oligo‐astheno‐teratozoospermia for her partner. Transvaginal pelvic ultrasound demonstrated the presence of a left ovarian cyst measuring 4.5 x 4.2 x 5.2 mm with features typical for an endometrioma. There was some ovarian stroma seen separately containing three antral follicles. The right ovary was small with two antral follicles. Both ovaries were accessible for oocyte retrieval.