1.Live birth after intracytoplasmic sperm injection with cryopreserved sperm retrieved from urine in a case of complete retrograde ejaculation: A case report
Anna Katrina G. Purugganan ; Ma. Asuncion A. Fernandez
Philippine Journal of Reproductive Endocrinology and Infertility 2017;14(1):1-4
This is a case of a 37-year-old nulliparous woman, and her 53-year-old husband diagnosed
with complete retrograde ejaculation and absolute azoospermia, who conceived after transfer
of embryos fertilized using cryopreserved sperm retrieved from postejaculatory urine. Four
embryos were thawed, then transferred in the blastocyst stage, resulting in a singleton
pregnancy and delivery by cesarean section at term to a healthy baby boy weighing 3100 g.
This case study shows that cryopreservation of sperm retrieved from postejaculatory urine
is feasible for IVF, despite demonstration of low motility. This is more cost-effective and least
invasive as the husband may avoid surgical aspiration or extraction of sperm.
Cryopreservation
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Infertility
;
Fertilization in Vitro
2.The wandering twin: A case of a uterine didelphys with the obstructed hemiuteri in the anterior abdominal wall
Nina Patricia A. Gaerlan-Revecho ; Yvette Marie C. Manalo-Mendoza ; Anna Katrina G. Purugganan ; Delfin A. Tan
Philippine Journal of Reproductive Endocrinology and Infertility 2017;14(1):5-10
Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise
from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also
known as a "double uterus," is one of the least common amongst the MDAs. Reported here
is a case of a 16 year old female with a uterus didelphys with the obstructed left hemiuteri
adherent in the anterior abdominal wall, and an endometriotic cyst on the same side. She
underwent hysteroscopy-guided vaginoscopy, laparoscopic left hemihysterectomy, left
oophorocystectomy. Cases such as these require careful preoperative planning and
diagnostic imaging for more accurate diagnosis and, hence, for the most appropriate surgical
procedure to be carried out. 3D ultrasonography and Magnetic Resonance Imaging have
been the most widely used imaging techniques. The goals of management are to relieve the
symptoms of obstruction and to restore the normal anatomy as much as possible in order to
provide the best chance for future fertility.
Uterine Didelphys