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Successful outcome of ivf and gestation in a patient with infertility with retrograde ejaculation of a partner
- Authors: Krivolesova T.A.1, Ivanov D.O.1, Reznik V.A.1, Romanova L.A.1, Guryanova G.V.1, Chernobrovkina A.K.1, Vetrov V.V.1, Kurdynko L.V.1
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Affiliations:
- St. Petersburg State Pediatric Medical University
- Issue: Vol 12, No 5 (2021)
- Pages: 79-83
- Section: Clinical observation
- URL: https://journals.eco-vector.com/pediatr/article/view/104994
- DOI: https://doi.org/10.17816/PED12579-83
- ID: 104994
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Abstract
The report presents the results of successful treatment of a married couple. A patient with multiple somatic pathology (varicose veins of the lower extremities, cholelithiasis, chronic cholecystitis) had 2 normal births in her first marriage. In the second marriage (the husband of 62 years revealed hypogonadism, cryptozoospermia, retrograde ejaculation) in 2018, ICSI was performed, which ended in an undeveloped pregnancy with curettage of the uterine cavity, in 2019, with the 4th pregnancy (CryoET), cesarean section (CS) at 28th week of pregnancy for chronic placental insufficiency with severe blood flow disorders in the placenta, nonimmune fetal dropsy. The child died on the 7th day of life. In 2020, due to the failure of the postoperative scar on the uterus after cesarean section, laparoscopy, hysteroscopy, and metroplasty were performed. The real, 5th pregnancy occurred after IVF with her husband’s sperm taken from post-ejaculatory urine. At 39th week of pregnancy, a planned Сaesarean section was performed, a boy was born at 3710 gr, 52 cm long with an Apgar score of 8/9 points. There was no bleeding during childbirth, the patient’s postoperative period was smooth. She was discharged home on the 5th day after delivery in a satisfactory condition with normal tests with a baby receiving breastfeeding.
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About the authors
Tatyana A. Krivolesova
St. Petersburg State Pediatric Medical University
Email: krivolesova.ta@mail.ru
obstetrician, gynecologist, Head of the Department of Assisted Reproductive Technology
Russian Federation, Saint PetersburgDmitry O. Ivanov
St. Petersburg State Pediatric Medical University
Email: doivanov@yandex.ru
MD, Dr. Sci. (Med.), Professor, Head of the Department of Neonatology with Courses in Neurology and Obstetrics-Gynecology, Faculty of Postgraduate and Additional Professional Education, Rector
Russian Federation, Saint PetersburgVitaly A. Reznik
St. Petersburg State Pediatric Medical University
Email: vitaliy-reznik@mail.ru
PD, MD, Head Physician of Clinics
Russian Federation, Saint PetersburgLarisa A. Romanova
St. Petersburg State Pediatric Medical University
Email: l_romanova2011@mail.ru
Deputy Chief Physician for Obstetrics and Gynecologys
Russian Federation, Saint PetersburgGalina V. Guryanova
St. Petersburg State Pediatric Medical University
Email: g_gurianova@mail.ru
obstetrician-gynecologist, reproductologist of the Department of Auxiliary Reproductive Technologies
Russian Federation, Saint PetersburgAnna K. Chernobrovkina
St. Petersburg State Pediatric Medical University
Email: annachernobrovkina@yandex.ru
embryologist of the Department of Auxiliary Reproductive Technologies
Russian Federation, Saint PetersburgVladimir V. Vetrov
St. Petersburg State Pediatric Medical University
Email: vetrovplasma@mail.ru
MD, Dr. Sci. (Med.), Associate Professor, Department of Chief Neonatology with Course of Obstetric and Gynecology, Chief Cabinet Efferent Therapy in Center Perinatolology
Russian Federation, Saint PetersburgLudmila V. Kurdynko
St. Petersburg State Pediatric Medical University
Author for correspondence.
Email: l.kurdynko@yandex.ru
Head of the Obstetric Physiology Department of Perinatal Center
Russian Federation, Saint PetersburgReferences
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