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  • Title: Transabdominal-transperitoneal ultrasound-guided oocyte retrieval in a patient with müllerian agenesis.
    Author: Damario MA.
    Journal: Fertil Steril; 2002 Jul; 78(1):189-91. PubMed ID: 12095513.
    Abstract:
    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.
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