Clinical and experimental obstetrics & gynecology · 2015
Detection of a microgonadotropinoma by magnetic resonance imaging performed because of excellent response to controlled ovarian hyperstimulation despite elevated day 3 FSH.
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Check J H, Dowland W
Аннотация
PURPOSE: To determine if a better response than anticipated to controlled ovarian stimulation in a woman assumed to have diminished oocyte reserve based on an increased day 3 serum follicle stimulating hormone (FSH) level, could be related to a gonadotropinoma.
MATERIALS AND METHODS: Magnetic resonance imaging (MRI) with and without gadolinium contrast was used in a woman who made 21 mature oocytes despite a history of day 3 serum FSH as high as 20 mIU/mL.
RESULTS: A pituitary microgonadotropinoma was detected.
CONCLUSIONS: The presence of a better response than anticipated to controlled ovarian hyperstimulation (COH) with exogenous gonadotropins despite an increase in day 3 serum FSH should prompt a search for a possible gonadotropinoma.
MATERIALS AND METHODS: Magnetic resonance imaging (MRI) with and without gadolinium contrast was used in a woman who made 21 mature oocytes despite a history of day 3 serum FSH as high as 20 mIU/mL.
RESULTS: A pituitary microgonadotropinoma was detected.
CONCLUSIONS: The presence of a better response than anticipated to controlled ovarian hyperstimulation (COH) with exogenous gonadotropins despite an increase in day 3 serum FSH should prompt a search for a possible gonadotropinoma.