Successful birth after intrafallopian transfer of microhatched embryos.
OBJECTIVE
To present a successful transfer of microhatched embryos to the fallopian tubes via microlaparoscopy.


METHODS
Case report.


METHODS
Private practice affiliated with a medical university.


METHODS
A 40-year-old woman with primary infertility, mildly elevated baseline FSH levels, and a history of poor ovarian response to ovulation induction. Her husband had severe oligoospermia after vasectomy reversal.


METHODS
Late luteal leuprolide acetate to pituitary down-regulation followed by pure FSH, 300 IU, and hMG, 300 IU, daily for ovulation induction. Transvaginal oocyte retrieval, intracytoplasmic sperm injection, assisted embryo hatching, microlaparoscopic intrafallopian ET.


METHODS
Amniocentesis at the 14th week of gestation revealed a normal karyotype (46,XX), birth of a normal female infant (3700 g).


RESULTS
Establishment of a single, viable intrauterine gestation followed by a vaginal delivery at term.


CONCLUSIONS
This case shows the possibility of using assisted-hatched embryos for laparoscopic intrafallopian tube transfer.
Castellotti
D S
DS
Huntington Centro de Medicina Reprodutiva, São Paulo, Brazil. HUNITNET@BR.HOMESHOPPING.COMBR
da Motta
E L
EL
Alegretti
J R
JR
Tran
C
C
Serafini
P
P
D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D005640:Follicle Stimulating Hormone / Q000627:therapeutic use; D006801:Humans; D007246:Infertility / Q000628:therapy*; D008297:Male; D008596:Menotropins / Q000627:therapeutic use; D008845:Microinjections; D009845:Oligospermia; D010062:Ovulation Induction; D011247:Pregnancy; D011256:Pregnancy Outcome; D017388:Zygote Intrafallopian Transfer
D008596:Menotropins; D005640:Follicle Stimulating Hormone