Zusammenfassung
Bei Patientinnen mit kongenitaler Zervixatresie ist die Chance auf eine Spontankonzeption auch nach erfolgreicher Rekonstruktion des Genitaltrakts reduziert. Hier bietet der Einsatz der assistierten Reproduktionstechniken eine wertvolle Option, einer Patientin eine Schwangerschaft zu ermöglichen. Ist ein Embryotransfer in das Cavum uteri transzervikal nicht durchführbar, hat neben dem transmyometrialen Embryotransfer der laparoskopische intratubare Transfer klinische Bedeutung – trotz seiner Invasivität. Der Stellenwert des intratubaren Embryotransfers bei wiederholtem Implantationsversagen, für die ältere Kinderwunschpatientin und den Kryoembryotransfer wird kontrovers diskutiert. In diesem Fallbericht wird die Lebendgeburt nach laparoskopischem intratubarem Tag-3-Kryoembryotransfer bei einer Patientin mit kongenitaler Zervixatresie mit nachfolgender Spontankonzeption beschrieben.
Abstract
In patients with congenital cervical atresia the chance of spontaneous conception is reduced, even after successful reconstruction of the genital tract. The use of assisted reproductive techniques provides a valuable option to allow patients to become pregnant. If transcervical embryo transfer to the uterine cavity cannot be performed, in addition to transmyometrial embryo transfer, laparoscopic intrafallopian transfer is also of clinical importance, despite being an invasive procedure. The importance of intratubal embryo transfer in cases of repeated implantation failure, for older patients and for frozen thawed embryo transfer is controversially discussed. This case report describes a live birth after laparoscopic intratubal frozen thawed embryo transfer on day 3 in a patient with congenital cervical atresia and a subsequent spontaneous conception.
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Brössner, A.B., Kleinstein, J. Laparoskopischer intratubarer Kryoembryotransfer bei kongenitaler Zervixatresie. Gynäkologische Endokrinologie 15, 87–92 (2017). https://doi.org/10.1007/s10304-016-0101-3
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DOI: https://doi.org/10.1007/s10304-016-0101-3
Schlüsselwörter
- Verfahren der assistierten Reproduktion
- Transmyometrialer Embryotransfer
- Implantationsversagen
- Endometriose
- In-vitro-Fertilisation