Case reports for embryo banking: for women who want their own

Authors

  • Amishi Vijay Vora Department of ART, Nadkarni Training Academy and Test Tube Baby Hospitals, Killa Pardi and Surat, Gujarat, India
  • Purnima Nadkarni Department of ART, Nadkarni Training Academy and Test Tube Baby Hospitals, Killa Pardi and Surat, Gujarat, India
  • Pooja Nadkarni Singh Director and consultant, 21st Century Group of Hospitals, Surat, Gujarat, India
  • Vaibhav Nadkarni Department of ART, Nadkarni Training Academy and Test Tube Baby Hospitals, Killa Pardi and Surat, Gujarat, India
  • Aditi Nadkarni Department of ART, Nadkarni Training Academy and Test Tube Baby Hospitals, Killa Pardi and Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193072

Keywords:

Embryo banking, Gamete donation, In-vitro fertilization, Oocyte accumulation, Ovum donation, own, Poor/low ovarian reserve, Preimplantation genetic screening, Ray of hope, Vitrification

Abstract

Out of the many challenges in management of female factor infertility, poor responders and low response to stimulation in aged and even younger women, seems to be a common problem. It is very difficult to offer one particular management strategy or treatment protocol for optimum outcome in this group of women of poor responders. In a low resource set up, IVF (In vitro Fertilization) specialist doctors usually face a challenge in treating women with poor/ low ovarian reserve as ovum / gamete donation is considered as a taboo in various sections of society even today. Hence women insist on having an offspring of "their own" and vehemently deny ovum / gamete donations. In this article we discuss 2 cases of poor ovarian reserve retrospectively, who underwent multiple cycles of controlled ovarian hyperstimulation for embryo banking and ultimately achieved pregnancy. Both patients achieved pregnancy with the method of embryo banking. Embryo banking should be considered and discussed. Various articles have discussed the advantages and disadvantages of embryo banking or even oocytes accumulation. The advantages of this technique is patients with poor/low ovarian reserve get a chance to be pregnant with their own oocytes and also have a chance for vitrification of residual embryos. Another advantage in such patients is that the embryos can undergo PGS (Preimplantation Genetic Screening) techniques in cases of suspected genetic disorders. The disadvantage in a low resource set up like India is the cost of the treatment. Nevertheless, embryo banking and accumulation of oocytes should be given as an option for treatment of poor/ low ovarian reserve and could be considered as a ray of hope for all future mothers hoping for a child of "their own".

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Published

2019-06-29

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Case Reports