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Successful ART outcome in a woman with McCune-Albright syndrome: a case report and literature review

Journal

JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
Volume 40, Issue 7, Pages 1669-1675

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10815-023-02844-6

Keywords

McCune-Albright syndrome; Infertility; ART; In vitro maturation IVM

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McCune-Albright syndrome (MAS) is a rare genetic disease that affects multiple organs, including the endocrine tissues, and can cause infertility. This case report presents the infertility journey of a 22-year-old female with MAS, who underwent various infertility treatments before achieving a live birth through ovarian stimulation and in vitro fertilization.
McCune-Albright syndrome (MAS) is a rare genetic disease affecting multiple organs, including endocrine tissues. This endocrinopathy is sometimes responsible for infertility, as it may induce an independent functioning of the ovaries leading to anovulatory cycles. This case report describes the infertility journey of a 22-year-old female who had early puberty and irregular periods with high estrogen and progesterone levels, low FSH and LH (on day 3 of her menstrual cycle), and a multi-cystic right ovary. She received several infertility treatments: initially in vitro oocyte maturation (IVM) followed by cyst transvaginal ultrasound-guided aspiration, all unsuccessful. A right hemi-ovariectomy was performed that eventually restored regular cycles and made it possible to perform ovarian stimulation (OS) and in vitro fertilization (IVF). Live birth was obtained after the first embryo transfer.

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