title: Successful pregnancy following a single fresh embryo transfer in a 45-year-old woman whose early follicular phase serum follicle stimulating hormone was 29 mIU/ml.
abstract: OBJECTIVE
  To determine if a successful pregnancy is possible following in vitro fertilization embryo transfer (IVF-ET) in a woman of advanced reproductive age with diminished egg reserve.
  
  
  METHODS
  In vitro fertilization-embryo transfer with intracytoplasmic sperm injection (ICSI) was performed for a 45-year-old woman with a peak serum follicle stimulating hormone (FSH) level of 29 mIU/ml and a history of failing to conceive in five previous IVF-ET cycles at a younger age. A minimal FSH stimulation protocol was used.
  
  
  RESULTS
  A fresh transfer of a 7-cell embryo was performed on day 3. A successful pregnancy and delivery ensued.
  
  
  CONCLUSIONS
  This case report establishes a precedent that a successful pregnancy following IVF-ET is possible in a woman whose serum FSH is > 15 mIU/ml, and is age 45. Of course, there is no implication that accomplishing this again in another woman with similar circumstances would be likely.
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: J K
authors.initials: JK
authors.lastname: Choe
authors.forename: R
authors.initials: R
authors.lastname: Cohen
mesh_terms: D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D005640:Follicle Stimulating Hormone / Q000097:blood*; D005498:Follicular Phase; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D020554:Sperm Injections, Intracytoplasmic
chemical_list: D005640:Follicle Stimulating Hormone