A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report
Objective: To report a very rare case of live birth with unexpectedly low serum hCG level on day 11 after blastocyst embryo transfer. Design: Case report. Setting: Private infertility center. Patient(s): A 30-year-old nulliparous woman presented with PCOS and 1 year of infertility. Interventions(s):...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2020-06-01
|
Series: | F&S Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S266633412030009X |
id |
doaj-d3fa04cc655c400fba2444ab6afe428f |
---|---|
record_format |
Article |
spelling |
doaj-d3fa04cc655c400fba2444ab6afe428f2021-03-18T04:42:30ZengElsevierF&S Reports2666-33412020-06-01114850A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case reportQizhen Zheng, M.D.0Shiru Xu, M.D.1Meilan Mo, M.D.2Jing You, B.D.3Yong Zeng, M.D.4Shenzhen Key Laboratory of Reproductive Immunology for Peri-implantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen Zhongshan Urology Hospital, Shenzhen, Guangdong, People’s Republic of ChinaShenzhen Key Laboratory of Reproductive Immunology for Peri-implantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen Zhongshan Urology Hospital, Shenzhen, Guangdong, People’s Republic of ChinaShenzhen Key Laboratory of Reproductive Immunology for Peri-implantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen Zhongshan Urology Hospital, Shenzhen, Guangdong, People’s Republic of ChinaShenzhen Key Laboratory of Reproductive Immunology for Peri-implantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen Zhongshan Urology Hospital, Shenzhen, Guangdong, People’s Republic of ChinaReprint requests: Yong Zeng, M.D., No. 1001, Fuqiang Road, Futian District, Shenzhen 518045, Guangdong Province, People’s Republic of China.; Shenzhen Key Laboratory of Reproductive Immunology for Peri-implantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen Zhongshan Urology Hospital, Shenzhen, Guangdong, People’s Republic of ChinaObjective: To report a very rare case of live birth with unexpectedly low serum hCG level on day 11 after blastocyst embryo transfer. Design: Case report. Setting: Private infertility center. Patient(s): A 30-year-old nulliparous woman presented with PCOS and 1 year of infertility. Interventions(s): Conventional IVF was scheduled and a long-acting agonist protocol was selected. Main Outcome Measure(s): Maternal serum hCG levels and transvaginal ultrasound exams for the embryo’s well-being. Result(s): The hCG level was 11.6 IU/L on day 11 after the transfer of two blastocyst embryos, which was considered as either failing or extrauterine pregnancy. After blood titration, there were delayed hCG increases. A series of transvaginal ultrasounds also indicated a delayed but normal-appearing intrauterine pregnancy. A healthy baby boy was delivered at term by means of cesarean section. Conclusion(s): A low initial serum hCG level may be associated with certain maternal or fetal characteristics and IVF treatment variables. Close conservative observation is warranted before undertaking any therapeutic intervention.http://www.sciencedirect.com/science/article/pii/S266633412030009XBlastocyst embryo transferhuman chorionic gonadotropinviable pregnancy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qizhen Zheng, M.D. Shiru Xu, M.D. Meilan Mo, M.D. Jing You, B.D. Yong Zeng, M.D. |
spellingShingle |
Qizhen Zheng, M.D. Shiru Xu, M.D. Meilan Mo, M.D. Jing You, B.D. Yong Zeng, M.D. A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report F&S Reports Blastocyst embryo transfer human chorionic gonadotropin viable pregnancy |
author_facet |
Qizhen Zheng, M.D. Shiru Xu, M.D. Meilan Mo, M.D. Jing You, B.D. Yong Zeng, M.D. |
author_sort |
Qizhen Zheng, M.D. |
title |
A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report |
title_short |
A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report |
title_full |
A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report |
title_fullStr |
A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report |
title_full_unstemmed |
A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report |
title_sort |
live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report |
publisher |
Elsevier |
series |
F&S Reports |
issn |
2666-3341 |
publishDate |
2020-06-01 |
description |
Objective: To report a very rare case of live birth with unexpectedly low serum hCG level on day 11 after blastocyst embryo transfer. Design: Case report. Setting: Private infertility center. Patient(s): A 30-year-old nulliparous woman presented with PCOS and 1 year of infertility. Interventions(s): Conventional IVF was scheduled and a long-acting agonist protocol was selected. Main Outcome Measure(s): Maternal serum hCG levels and transvaginal ultrasound exams for the embryo’s well-being. Result(s): The hCG level was 11.6 IU/L on day 11 after the transfer of two blastocyst embryos, which was considered as either failing or extrauterine pregnancy. After blood titration, there were delayed hCG increases. A series of transvaginal ultrasounds also indicated a delayed but normal-appearing intrauterine pregnancy. A healthy baby boy was delivered at term by means of cesarean section. Conclusion(s): A low initial serum hCG level may be associated with certain maternal or fetal characteristics and IVF treatment variables. Close conservative observation is warranted before undertaking any therapeutic intervention. |
topic |
Blastocyst embryo transfer human chorionic gonadotropin viable pregnancy |
url |
http://www.sciencedirect.com/science/article/pii/S266633412030009X |
work_keys_str_mv |
AT qizhenzhengmd alivebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT shiruxumd alivebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT meilanmomd alivebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT jingyoubd alivebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT yongzengmd alivebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT qizhenzhengmd livebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT shiruxumd livebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT meilanmomd livebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT jingyoubd livebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport AT yongzengmd livebirthwithunexpectedlylowserumhumanchorionicgonadotropinlevelonday11afterblastocystembryotransferacasereport |
_version_ |
1724216716083331072 |