Two successful pregnancies in a 46,XY patient.
Two successful pregnancies (singleton followed by twins) following ovum donation/in-vitro fertilization in a 46,XY woman have been studied. Although similar cases have previously been presented: in a pure XY patient and in a 45,X/46,XY patient, this case is one in which a subsequent successful pregnancy has resulted. In such patients, the rate of Caesarean section appears to be increased, and we postulate that the hypoplastic nature of the uterus, although able to respond quite well to both exogenous and endogenous hormones to accept and maintain a pregnancy, may lack the capability to respond fully in labour by dilating appropriately.
Kan
A K
AK
Fertility and Endocrinology Centre, In Vitro Fertilisation Unit, Lister Hospital, London, UK.
Abdalla
H I
HI
Oskarsson
T
T
D000328:Adult; D002369:Castration; D002585:Cesarean Section; D015914:Estrogen Replacement Therapy; D005260:Female; D005307:Fertilization in Vitro; D006061:Gonadal Dysgenesis, 46,XY / Q000601:surgery; D006801:Humans; D018587:Oocyte Donation; D011247:Pregnancy; D014427:Twins; D017388:Zygote Intrafallopian Transfer