Segmentation of in vitro fertilization with high-intensity focused ultrasound in repeated implantation failure with adenomyosis

Pei Hsiu Yu, Yu Hsien Wu, Ta-Sheng Chen, Tsung Cheng Kuo, Meng Hsing Wu

Research output: Contribution to journalArticlepeer-review

Abstract

Adenomyosis is a complex issue in reproductive-Age women not only on worsening of quality of life due to severe dysmenorrhea or heavy menstrual bleeding but also on the impact of infertility. A 39-year-old female, gravida 0 para 0, with a history of bilateral ovarian endometrioma post laparoscopic surgery presented to our hospital due to suspected deep infiltrative endometriosis (DIE), adenomyosis, and repeated implantation failure. Initially, gonadotropin-releasing hormone analog treatment for DIE with progestin-primed ovarian stimulation protocol was arranged. Four D5 blastocysts were obtained and freezed. Two frozen embryo transfer were performed after ultrasound-guided high-intensity focused ultrasound (USgHIFU) treatment of adenomyosis. She later had a dichorionic diamniotic twin pregnancy, and two healthy newborns were delivered by Cesarean section at gestational age of 35 weeks due to antepartum hemorrhage with placenta previa and preeclampsia. In conclusion, USgHIFU can be a potential treatment option in segmented in vitro fertilization in future.

Original languageEnglish
Pages (from-to)109-112
Number of pages4
JournalGynecology and Minimally Invasive Therapy
Volume12
Issue number2
DOIs
Publication statusPublished - 2023 Apr

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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