title: Increased oocyte production after treatment with dehydroepiandrosterone.
abstract: OBJECTIVE
  To describe a case of dramatically improved ovarian reserve in a 42.7-year-old woman who was using the dietary supplement dehydroepiandrosterone (DHEA) as well as acupuncture.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Private IVF center.
  
  
  METHODS
  A 42.7-year-old patient with initial severely decreased ovarian reserve.
  
  
  METHODS
  Serial ovulation induction with concomitant use of DHEA dietary supplementation as well as acupuncture.
  
  
  METHODS
  Peak E2 concentration, oocytes retrieved, and cyropreservable embryos.
  
  
  RESULTS
  In her first treatment cycle peak E2 was 1,211 pmol/mL. After seven months of DHEA supplementation her peak E2 in cycle 8 was > 18,000 pmol/mL. Because of fear of hyperstimulation we reduced her gonadotropin stimulation by 25%. In the ninth cycle peak E2 was 9,178 pmol/mL, resulting in retrieval of 17 oocytes (16 embryos). In the last 11 months the patient has undergone nine treatment cycles while continuously and dramatically improving her ovarian response and banking of 66 embryos overall.
  
  
  CONCLUSIONS
  This case illustrates the possibility that ovarian function may be salvaged, even in women of advanced reproductive age.
authors.affiliation: Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, New York, New York, USA. dbarade@theCHR.com
authors.forename: David H
authors.initials: DH
authors.lastname: Barad
authors.forename: Norbert
authors.initials: N
authors.lastname: Gleicher
mesh_terms: D000328:Adult; D015925:Cryopreservation / Q000379:methods; D003687:Dehydroepiandrosterone / Q000494:pharmacology*; D004622:Embryo, Mammalian / Q000166:cytology / Q000187:drug effects; D005260:Female; D006801:Humans; D009865:Oocytes / Q000166:cytology* / Q000187:drug effects*; D010062:Ovulation Induction / Q000379:methods*
chemical_list: D003687:Dehydroepiandrosterone