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Year : 2022  |  Volume : 9  |  Issue : 1  |  Page : 68-70

Successful pregnancy in recurrent thin endometrium: a case report

Ashoka Advanced IVF, Raipur, Chhattisgarh, India

Correspondence Address:
Madhuprita Agrawal
Ashoka Advanced IVF, Raipur (CG)
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fsr.fsr_3_22

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Human endometrium plays an important role in the implantation process. Endometrial thickness is considered to be one of the valuable parameters contributing to the successful outcome of the assisted reproductive technique. Young patients less than 35 years have a better chance of conceiving even if they have thin endometrium. It is suggested that a frozen cycle instead of fresh transfer allows for a better and more detailed study of the endometrium. Many modalities have been applied to improve endometrial thickness but their effectiveness remains controversial. Here we present a 30-year-old female trying for conception for 8 years and has a history of four times recurrent IVF failure. On ultrasonography, the endometrium lining was always in the range of 5 to 6.5 mm. Frozen embryo transfer (FET) was done with mild-ovarian stimulation (OS) protocol, the dominant follicle was tracked, and trigger given and was followed by three blastocyst transfers. The patient came positive with a twin pregnancy. Endometrium potential cannot be judged only based on thickness, other parameters like endometrial blood flow and its pattern equally should be considered. Although hormone replacement therapy and NC (natural cycle)/modified NC are the most commonly used protocols, the present case suggests that mild OS may be an emerging and viable option for FET.

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