1.Successful pregnancy by in vitro fertilization using corifollitropin alfa (ELONVA) for controlled ovarian stimulation: the first reported local experience.
Florely Joy Estrella GREGORIO ; Leonardo A ALMEDA ; Michelle Enriquez GAMBOA
Philippine Journal of Reproductive Endocrinology and Infertility 2016;13(1):1-13
The need for simplified in-vitro fertilization (IVF) treatment approaches with the aim of reducing treatment burden and to prevent drop-outs after a failed IVF cycle can be met by the use of corifollitropin alfa for COS in association with a GnRH antagonist protocol. This is a report of the first local case of a successful pregnancy using corifollitropin alfa in IVF. This is a case of a 33-year-old G3 P0 (0030) whose partner has teratozoospermia, COS using corifollitripin alfa yielded eight mature oocytes with no occurrence of OHSS. Six oocytes were fertilized using ICSI with six good quality embryos reaching cleavage stage. Two grade 1 embryo sat day 3 cleavage stage were transferred. A clinical pregnancy was documented at 7 weeks age of gestation. Congenital anomaly scanning at 24 weeks age of gestation revealed a grossly normal fetus. Patient delivered a healthy, live, term baby boy. Review of literature suggests that corrifollitropin alfa is as effective as rFSH in delivering live birth rate, ongoing pregnancy rate and clinical pregnancy rate. The sustained and higher FSH immunoreactivity concentrations and the inability for dose adjustment after treatment with a single dose of corifollitropin compared with the daily rFSH regimen underscored the need for careful patient selection in the use of corifollitropin alfa.
Human ; Female ; Adult ; Corifollitropin Alfa (elonva) ; Recombinant Follicle Stimulating Hormone (rfsh) ; Controlled Ovarian Stimulation (cos) ; In Vitro Fertilization (ivf) ; Intracytoplasmic Sperm Injection (icsi)

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