J Amui1, J H Check, R Cohen. 1. The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ, USA.
Abstract
PURPOSE: To show that even a twin pregnancy is possible following embryo transfer despite a very thin endometrium. METHODS: Two embryos derived from donor oocytes were transferred into a 47-year-old woman despite a peak endometrial thickness of 4 mm. RESULTS: She delivered viable dichorionic twins at 30 weeks in a pregnancy complicated by HELLP syndrome. CONCLUSIONS: Anecdotal case reports are important to establish precedents to allow patients to make decisions when presented with treatment options. A third precedent of a successful pregnancy with endometrial thickness of only 4 mm is presented. Without precedent she would have chosen embryo freezing and subsequent transfer into a very expensive gestational carrier if thin endometrium persisted.
PURPOSE: To show that even a twin pregnancy is possible following embryo transfer despite a very thin endometrium. METHODS: Two embryos derived from donor oocytes were transferred into a 47-year-old woman despite a peak endometrial thickness of 4 mm. RESULTS: She delivered viable dichorionic twins at 30 weeks in a pregnancy complicated by HELLP syndrome. CONCLUSIONS: Anecdotal case reports are important to establish precedents to allow patients to make decisions when presented with treatment options. A third precedent of a successful pregnancy with endometrial thickness of only 4 mm is presented. Without precedent she would have chosen embryo freezing and subsequent transfer into a very expensive gestational carrier if thin endometrium persisted.