Successful controlled ovarian stimulation and pregnancy in a woman with hypogonadotropic hypogonadism resulting from transsphenoidal excision of a pituitary macroadenoma.
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: To report pregnancy in women with partial hypopituitarism as a result of surgery for a non-functioning pituitary macroadenoma using recombinant Follicle Stimulation Hormone (rFSH) and Recombinant Luteinizing Hormone (rLH). Case Description: A 29-year-old woman with partial hypopituitarism underwent Controlled Ovarian Hyperstimulation (COH) with rFSH, rLH achieving a pregnancy. Co-treatment with rLH enhanced FSH action, promoted follicle development and shortened COH duration and reduced FSH doses. Conclusion: Ovulation induction in women with partial hypopituitarism requires both Follicle Stimulation Hormone (FSH) and Luteinizing Hormone (LH) to achieve optimal follicular growth. Adding LH from start of stimulation optimizes controlled ovarian stimulation in hypogonadotropic hypogonadism supporting the concept that LH is required in the early follicular phase as well.
Authors and Affiliations
Salve Archana R, Alka Vijay
Contraceptive awareness, and practices among rural women in Lucknow
Objective This cross sectional observational study was done to asses awareness regarding family planning methods and the practice of contraceptives among rural women in LucknowMaterials and Methods Five hundred women bet...
Comparison of two methods of delivery of the deeply engaged fetal head at Cesarean delivery
Although Cesarean delivery (CD) is the most common surgical procedure employed by the Obstetrician, vaginal delivery is the generally preferred mode of delivery by most women. But, sometimes while awaiting vaginal delive...
Rupture of Unscarred Pregnant Uterus: A Catastrophic Event: Case series and Review of Literature
Aim: To discuss risk factors associated with rupture of pregnant uterus, its diagnostic dilemmas and associated maternal and fetal complications. Background: Unscarred uterine rupture is rare and associated with high ris...
An unusual case of acute abdomen in mid-trimester pregnancy
The prevalence of congenital uterine anomalies among females of reproductive age group has been reported as 1:200 to 1:600. One such rare congenital uterine anomaly is rudimentary horn. The prevalence of unicornuate uter...
Premature rupture of membranes at term: Early induction versus expectant management
Introduction: Premature rupture of the membranes at term is spontaneous rupture of the membranes after 37 wks of the gestations and before the onset of the regular painful uterine contractions. It occurs in ten percent o...