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Three pregnancies despite elevated serum FSH and advanced age: Case report

2000/08/01 by Jerome H. Check · 22 citations
Medicine · #Ovarian function and disorders #Reproductive Biology and Fertility #Assisted Reproductive Technology and Twin Pregnancy #Ovulation #Pregnancy #Luteal phase #Implantation failure #Medicine #Ovulation induction #Infertility #Gynecology #Obstetrics #Endocrinology #Hormone #Biology

paper · doi:10.1093/humrep/15.8.1709

published in Human Reproduction 15(8), 1709-1712 (Oxford University Press)

openalex publication_date 2000/08/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/22

Abstract

Although the transfer of fertilized donor oocytes is the most efficacious mode of conception for infertile women with hypergonadotrophism associated with incipient or apparent ovarian failure, there are many individuals who, for religious, ethical, or personal reasons, would prefer to try to conceive with their own oocytes. The three cases presented here represent extremes to date for (i) highest serum FSH concentration in a woman with incipient ovarian failure (n = 2), and (ii) the oldest woman with apparent overt ovarian failure (n = 1) to have successful pregnancies. All three cases were treated for only a short time with pharmacological dosages of ethinyl oestradiol with luteal phase support with progesterone. The peak FSH (mIU/ml) in cases 1 and 2 was 143 and 127 respectively. The precedents set in these cases can help physician-patient consultation when patients enquire whether there is a certain critical FSH concentration above which pregnancy is not possible or an age over which successful pregnancy could not be achieved even if ovulation despite ovarian failure was possible.

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