Follicle-stimulating hormone receptor autoantibody associated primary ovarian insufficiency successfully treated with corticosteroids: a case report

Objective: To report a case of successful controlled ovarian stimulation (COH) for oocyte cryopreservation in a patient with autoimmune primary ovarian insufficiency (POI) and polyglandular autoimmune syndrome (PGAS) type 2. Design: Case report. Setting: Private in vitro fertilization clinic. Patien...

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Main Authors: Carrie Riestenberg, M.D (Author), Susan Ahern, D.O (Author), Mousa Shamonki, M.D (Author)
Format: Book
Published: Elsevier, 2020-12-01T00:00:00Z.
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Summary:Objective: To report a case of successful controlled ovarian stimulation (COH) for oocyte cryopreservation in a patient with autoimmune primary ovarian insufficiency (POI) and polyglandular autoimmune syndrome (PGAS) type 2. Design: Case report. Setting: Private in vitro fertilization clinic. Patient(s): 25-Year-old woman, G0, with autoimmune POI and PGAS type 2. Intervention(s): Diagnosis of autoimmune interference with FSH signaling, with subsequent high-dose corticosteroid immune suppression and successful oocyte cryopreservation. Main Outcomes Measure(s): Successful stimulation with exogenous gonadotropins, oocyte retrieval, and cryopreservation. Result(s): Retrieval and cryopreservation of 36 metaphase-II (MII) oocytes. Conclusion(s): Scrutiny of POI cases will facilitate identification of a subset of patients in whom immune suppression with short-term, high-dose corticosteroids may enable successful COH.
Item Description:2666-3341
10.1016/j.xfre.2020.09.002