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Live birth after embryo transfer in an unresponsive thin endometrium
1Instituto Valenciano de Infertilidad , Valencia , Spain .
Summary
A successful live birth was achieved in a woman with ovarian failure and a thin endometrium using ovum donation. This case highlights the potential of new diagnostic tools for endometrial receptivity in challenging assisted conception cases.
Area of Science:
- Reproductive Endocrinology
- Assisted Reproductive Technology
Background:
- A 35-year-old woman experienced ovarian failure, a hypoplastic uterus, and an atrophic endometrium following cancer treatment (chemotherapy and radiotherapy).
- This clinical profile presented a significant challenge for achieving pregnancy through assisted conception.
Observation:
- A novel diagnostic tool was employed to assess endometrial receptivity.
- Despite the extremely thin endometrium, the tool indicated potential receptivity.
Findings:
- Ovum donation facilitated a successful pregnancy.
- A healthy, full-term live birth was achieved, marking the thinnest endometrium reported for a live birth in assisted conception.
Implications:
- This case demonstrates the feasibility of achieving pregnancy even with severe uterine factors and thin endometrium.
- The diagnostic tool for endometrial receptivity shows promise in improving success rates for patients with poor prognosis in assisted reproductive technology.
- Further research into endometrial receptivity diagnostics could revolutionize treatment for infertility.

