The use of a woman's own eggs in her first IVF treatment at the age of 48 years and 10 months with successful live birth after PGT-A: a case report.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY
Claudia Gomes, Mariana Nicolielo Barreto, Anaíde Silva Sousa, Dayane Guerino Reis, Priscila Beirigo, Izadora Reis, Caroline Fauth, Andrea Belo, Hanna Park, Ana Luiza Tavares, Livia Munhoz, José Roberto Alegretti, Dóris S Chéles, Aline R Lorenzon
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Abstract

Natural conception in women after the age of 45 years is rare. The probability of successful pregnancy in this specific group of women after IVF and embryo transfer with autologous oocytes is also reduced. In addition, advanced maternal age is associated with an increased risk of aneuploidies and other associated complications during pregnancy. Generally, women who are over 44 years old are advised to receive IVF treatment with donated oocytes due to poor oocyte quality and low ovarian reserve. Although IVF outcomes in women of advanced age can be associated with the best prognosis when donated oocytes are used, IVF is not always well accepted by infertile couples. This is a case report of a woman who achieved a clinical pregnancy and live birth in her first attempt at IVF treatment with her own eggs and a euploid embryo at 48 years and 10 months, respectively, at the time of oocyte retrieval. This case demonstrates that limited attempts at assisted reproductive technology with older women's own eggs may be an option in specific cases.

一位妇女在 48 岁零 10 个月时使用自己的卵子进行首次试管婴儿治疗,并在 PGT-A 后成功产下活婴:病例报告。
45 岁以后的妇女很少自然受孕。在使用自体卵母细胞进行体外受精和胚胎移植后,这类妇女成功怀孕的概率也会降低。此外,高龄产妇在怀孕期间发生非整倍体和其他相关并发症的风险也会增加。一般来说,44 岁以上的女性由于卵母细胞质量差、卵巢储备功能低,建议使用捐献的卵母细胞进行试管婴儿治疗。虽然高龄妇女使用捐赠卵母细胞进行体外受精可获得最佳预后,但体外受精并不总能被不孕夫妇所接受。本病例报告了一名妇女在首次尝试试管婴儿治疗时,使用自己的卵子和一个优倍体胚胎,分别在取卵时 48 岁和 10 个月的年龄实现了临床妊娠和活产。该病例表明,在特定情况下,利用高龄妇女自身卵子进行有限的辅助生殖技术尝试可能是一种选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.30
自引率
6.70%
发文量
56
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