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Transabdominal-transperitoneal ultrasound-guided oocyte retrieval in a patient with müllerian agenesis
1Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USA. damario.mark@mayo.edu
Objective:
To describe the approach of transabdominal-transperitoneal ultrasound-guided oocyte retrieval undertaken in a patient with müllerian agenesis and ovarian malposition who underwent a successful gestational carrier treatment cycle.
Design:
Case report.
Setting:
A tertiary-referral reproductive medicine unit.
Patient(S):
A 26-year-old patient with müllerian agenesis. Her 44-year-old mother served as the gestational carrier.
Intervention(S):
Controlled ovarian hyperstimulation, transabdominal-transperitoneal ultrasound-guided oocyte retrieval, embryo transfer.
Main Outcome Measure(S):
Oocyte recovery rate, fertilization rate, pregnancy test.
Result(S):
Six oocytes were retrieved using a percutaneous transperitoneal needle puncture under ultrasound guidance. Two cleavage-stage embryos were transferred to the gestational carrier, resulting in a twin pregnancy.
Conclusion(S):
For various reasons, patients with müllerian agenesis may not be candidates for standard transvaginal ultrasound-guided oocyte retrieval. Although laparoscopic oocyte retrieval has been frequently used in this setting, the approach of transabdominal-transperitoneal ultrasound-guided oocyte retrieval may offer further advantages in select cases.