DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20222824
Published: 2022-10-28

A successful pregnancy outcome: post bilateral salphingo-oophorectomy

Sadhana Adapathya, Usha Rani G.

Abstract


A 30 year old nulliparous woman, married for 7 years presented with complaints of lower abdominal pain since a year. Her menstrual history has been regular, associated with dysmenorrhea. She gave a past surgical history of right ovarian cystectomy in view of chocolate cyst noted on diagnostic laparoscopy. Investigations revealed a bilateral complex ovarian cyst and an elevated Ca-125 of 100 units/ml, proceeded with bilateral salphingo-oopherectomy as grade IV endometrioma of both ovaries with frozen pelvis noted. Later, she resumed her menstrual cycles with exogenous estrogen and progesterone. She conceived following a donor oocyte frozen embryo transfer and she delivered a healthy 2.74 kg girl baby with a good Apgar score.


Keywords


Endometriosis, Infertility; IVF

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References


Llarena NC, Falcone T, Flyckt RL. Fertility preservation in women with endometriosis. Reproduct Health. 2019.

Nesbitt-Hawes EM, Campbell N, Maley PE, Won H, Hooshmand D, Henry A, et al. The surgical treatment of severe endometriosis positively affects the chance of natural or assisted pregnancy postoperatively. Biomed Res Int. 2015;2015:438790.

Lyons SD, Chew SSB, Thomson AJM, Lenart M, Camaris C, Vancaillie TG, et al. Clinical and quality of life outcomes after fertility sparing laparoscopic surgery with bowel resection for severe endometriosis. J Minimal Invas Gynecol. 2006;13(5):436-41.

Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447):1789-99.

Macer ML, Taylor HS. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstet Gynecol Clin North Am. 2012;39(4):535-49.

Holoch KJ, Lessey BA. Endometriosis and infertility. Clin Obstet Gynecol. 2010;53(2):429-38.

Toya M, Saito H, Ohta N, Saito T, Kaneko T, Hiroi M. Moderate and severe endometriosis is associated with alterations in the cell cycle of granulosa cells in patients undergoing in vitro fertilization and embryo transfer. Fertil Steril. 2000;73(2):344-50.

Geber S, Ferreira DP, Spyer Prates LF, Sales L, Sampaio M. Effects of previous ovarian surgery for endometriosis on the outcome of assisted reproduction treatment. Reprod Biomed Online. 2002;5(2):162-6.

Opøien HK, Fedorcsak P, Byholm T, Tanbo T. Complete surgical removal of minimal and mild endometriosis improves outcome of subsequent IVF/ICSI treatment. Reprod Biomed Online. 2011;23(3):389-95.

Laskov I, Michaan N, Many A, Amit A, Azem F. Successful pregnancy following transfer of frozen-thawed embryos in a patient with pseudomyxoma peritonei who underwent peritonectomy and bilateral oophorectomy. J Gynecol Oncol. 2012;23(2):129-32.