title: Live fetus following embryo transfer in a woman with diminished egg reserve whose maximal endometrial thickness was less than 4 mm.
abstract: OBJECTIVE
  To report the thinnest peak endometrial thickness to date resulting in a viable fetus following embryo transfer.
  
  
  METHODS
  Mild ovarian hyperstimulation was given to a 35-year-old woman with not only a family history of premature ovarian failure but she also had diminished egg reserve.
  
  
  RESULTS
  She consistently could not attain more than a 4 mm endometrial thickness in graduated estrogen replacement cycles or IVF-ET cycles. She successfully conceived on her second oocyte retrieval but first embryo transfer despite a maximum endometrial thickness of 3.7 mm; we believe this is the thinnest one to date associated with a viable pregnancy following embryo transfer.
  
  
  CONCLUSIONS
  Anecdotal cases are important to help couples make appropriate choices for their therapy. A physician could simply recommend a very expensive gestational carrier. However precedents might allow a given couple to take a chance with their ideal goal despite slim odds rather than compromise with a distant second choice.
authors.affiliation: The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ, USA. laurie@ccivf.com
authors.forename: J H
authors.initials: JH
authors.lastname: Check
authors.forename: R
authors.initials: R
authors.lastname: Cohen
mesh_terms: D000328:Adult; D004624:Embryo Transfer; D004717:Endometrium / Q000000981:diagnostic imaging*; D005260:Female; D005307:Fertilization in Vitro; D050031:Hashimoto Disease; D006801:Humans; D011247:Pregnancy; D016649:Primary Ovarian Insufficiency; D014463:Ultrasonography