Successful in Vitro Fertilization and Embryo Transfer after Transplantation of Cryopreserved Ovarian Tissue: Report of the First Korean Case.
10.3346/jkms.2018.33.e156
- Author:
Jung Ryeol LEE
1
;
Dayong LEE
;
Soohyeon PARK
;
Eun Chan PAIK
;
Seul Ki KIM
;
Byung Chul JEE
;
Chang Suk SUH
;
Seok Hyun KIM
Author Information
1. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea. blasto@snubh.org
- Publication Type:Case Report
- Keywords:
Ovarian Tissue;
Cryopreservation;
Transplantation;
Fertility Preservation
- MeSH:
Cryopreservation;
Drug Therapy;
Embryo Transfer*;
Embryonic Structures*;
Female;
Fertility;
Fertility Preservation;
Fertilization in Vitro*;
Follicle Stimulating Hormone;
Humans;
In Vitro Techniques*;
Korea;
Live Birth;
Oocytes;
Ovary;
Ovulation Induction;
Pregnancy;
Primary Ovarian Insufficiency;
Radiotherapy;
Rectal Neoplasms;
Transplantation;
Transplants
- From:Journal of Korean Medical Science
2018;33(21):e156-
- CountryRepublic of Korea
- Language:English
-
Abstract:
For patients at risk of premature ovarian failure with cancer treatment, it is an important option to re-implant the ovarian tissue (OT) after cryopreservation to preserve endocrine function and fertility. With this technique, about 30% of pregnancy success rate and about 90 live births have been reported to date. However, there has been no case report of successful in vitro fertilization (IVF) and embryo transfer (ET) with oocytes collected from transplanted cryopreserved OT in Korea. We report a 30-year old woman with rectal cancer who underwent IVF and ET after cryopreserved OT thawing and re-implantation. She has been diagnosed with stage IIIC rectal cancer after surgery, and right ovary was removed and cryopreserved between cycles of chemotherapy. After completion of chemotherapy and radiotherapy, the patient underwent orthotopic transplantation of cryopreserved OTs. Three months after transplantation, the serum follicle-stimulating hormone level decreased from 91.11 mIU/mL to 43.69 mIU/mL. Thereafter, the patient underwent 11 ovarian stimulation cycles, and in 7 cycles, follicle growth was observed at the OT graft site. In one of these cycles, the oocyte was successfully retrieved and one embryo was transplanted after IVF. The patient was not pregnant, but the cryopreservation of OT can save the fertility after anticancer chemotherapy.
