OBJECTIVE: To describe an unusual case of a sextuplet gestation after IVF and transfer of a single blastocyst. DESIGN: Case report. SETTING: University-based IVF clinic. PATIENT(S): A 32-year-old female with secondary infertility undergoing IVF-ET. INTERVENTION(S): Transvaginal oocyte retrieval, transfer of a single blastocyst, and multifetal pregnancy reduction. MAIN OUTCOME MEASURE(S): Ultrasound determination of pregnancy viability. RESULT(S): Six intrauterine gestational sacs, each with a fetus having cardiac activity, reduced to a triplet gestation. CONCLUSION(S): Physicians should consider advising patients undergoing IVF-ET to abstain from unprotected intercourse at least 4 days before the anticipated oocyte retrieval. Incomplete aspiration of ovarian follicles is uncommon but not rare and can lead to a higher order multiple pregnancy if recent unprotected intercourse has occurred in this setting.
- Embryo Transfer,
- Fertilization in Vitro,
- Multiple Birth Offspring,
- Oocyte Retrieval/adverse effects,
- Ovulation Induction/adverse effects,
- Polycystic Ovary Syndrome/complications/therapy,
- Practice Guidelines as Topic,
- Pregnancy Reduction,
- Unsafe Sex
Fertility and sterility, 91:3 (2009) pp.932.e1-932.e2.
Available at: http://works.bepress.com/ginny_ryan/17/