Ovulation induction with pulsatile GnRH in a patient with anovulation of hypothalamic origin and central diabetes insipidus.
Patients with diabetes insipidus (DI) are at high risk for dehydration, hypernatremia and hemodynamic instability. Ovarian hyperstimulation syndrome (OHSS) likewise has negative effects on electrolyte balance. If ovulation induction is required in a patient with DI, there is thus a strong argument for avoiding techniques that increase the risk of OHSS. This paper reports the results of ovulation induction in a patient with anovulation of hypothalamic origin and central (vasopressin deficit) DI. Ovulation was induced with pulsatile gonadotropin-releasing hormone (GnRH), which induces single-ovule cycles and which does not increase the risk of OHSS. The patient successfully achieved pregnancy after seven ovulatory cycles.
Department of Obstetrics and Gynecology, School of Medicine Universidad de Santiago de Compostela, Spain.
M
M
Graña-Barcia
J
J
Liz
E
E
Jimenez
A
A
Novo
J
J
Aguilar
D000328:Adult; D000858:Anovulation / Q000097:blood / Q000150:complications*; D003919:Diabetes Insipidus / Q000097:blood / Q000150:complications*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000627:therapeutic use; D013006:Growth Hormone / Q000172:deficiency*; D006801:Humans; D010062:Ovulation Induction; D011247:Pregnancy; D011256:Pregnancy Outcome
D007987:Gonadotropin-Releasing Hormone; D013006:Growth Hormone