Journal of medical case reports · 2026
In vitro fertilization-frozen embryo transfer in a patient with gonadotroph adenoma: Exacerbation of ovarian hyperstimulation by triptorelin: a case report.
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Lu Feifei, Xu Manlin, Shen Xiaoyue, Kong Na, Liu Jingyu, Jiang Yue
Аннотация
BACKGROUND: Functional gonadotropic adenoma is a rare pituitary adenoma. Only a few cases have been reported.
CASE PRESENTATION: Herein, we describe the case of a 30-year-old Chinese woman with functional gonadotroph adenomas (FGAs) with relative hyperprolactinemia and no obvious neurologic signs. Ovarian hyperstimulation due to a follicle-stimulating hormone (FSH)-secreting adenoma was observed after treatment with a gonadotropin-releasing hormone analogue (GnRH-a). The patient was successfully treated through pituitary adenomectomy and experienced a successful pregnancy after in vitro fertilization (IVF).
CONCLUSION: Our report suggests that a patient showing ovarian hyperstimulation related to an FSH-secreting adenoma may present with high PRL and estradiol levels and indicates that transsphenoidal surgery should be the first choice for treatment.
CASE PRESENTATION: Herein, we describe the case of a 30-year-old Chinese woman with functional gonadotroph adenomas (FGAs) with relative hyperprolactinemia and no obvious neurologic signs. Ovarian hyperstimulation due to a follicle-stimulating hormone (FSH)-secreting adenoma was observed after treatment with a gonadotropin-releasing hormone analogue (GnRH-a). The patient was successfully treated through pituitary adenomectomy and experienced a successful pregnancy after in vitro fertilization (IVF).
CONCLUSION: Our report suggests that a patient showing ovarian hyperstimulation related to an FSH-secreting adenoma may present with high PRL and estradiol levels and indicates that transsphenoidal surgery should be the first choice for treatment.