Laparoscopic oocyte aspiration in IVF programs in patients suffering from rokitansky-küster-mayer-hauser syndrome. Brief report of 2 clinical cases
Isabella Hovsepyan1, Anushik Abrahamyan1, Anush Tsarukyan1,2, Khachik Yanturyan1, Eduard Hambartsoumian1.2
1 Fertility center
2 Department of Human Reproduction, NIH of Armenia
Abstract
The Rokitansky-Küster-Mayer syndrome occurs in 1 out of 4,500–5,000 women. This syndrome is characterized by a congenital absence of the uterus and the upper third of the vagina, making natural pregnancy impossible. However, modern reproductive technologies, such as IVF with surro- gacy, can help women with this syndrome become biological parents. Despite corrective surgical interventions to create a functional vagina (vaginoplasty), access to the ovaries via the vaginal route can often be limited. In this paper, we present two clinical cases of treating such women using laparoscop- ic follicle puncture. In both cases, pregnancy was achieved as a result of the procedures (one with a healthy live birth, the other with a progressing pregnancy), demonstrating the preserved reproductive potential of such women. With the necessary equipment, coordinated efforts of leading repro- ductive specialists, the surgical team, embryologists, and the availability of conditions for safe oocyte transport, women with Rokitansky-Küster-Mayer syndrome can achieve favorable re- productive outcomes.
DOI 10.54235/27382737-2024.v4.2-63