Pregnancy Through Assisted Conception After Radical Trachelectomy: A Case Report
| Author | Bahar Shakerian | en |
| Author | Vajihe Hazari | en |
| Orcid | Bahar Shakerian [0000-0002-9742-0129] | en |
| Orcid | Vajihe Hazari [0000-0003-2204-7320] | en |
| Issued Date | 2023-09-30 | en |
| Abstract | Introduction: Trachelectomy, a conservative surgery in the early stages of cervical cancer, allows young women to keep their fertility. Infertility after such a surgery is frequent, and many couples should opt for assisted reproduction. Objectives: This case report aims to present a successful pregnancy in a woman with a history of cervical cancer and complete removal of the uterine cervix through trachelectomy. Case Presentation: A successful pregnancy is described after two failed attempts of embryo transfer (ET) in a 32-year-old woman with a history of trachelectomy due to stage IA invasive squamous cell carcinoma of the cervix. Before and after radical trachelectomy, she received adjuvant chemotherapy. In her second course of in-vitro fertilization, after a mock transfer at the time of ovum pickup with 11 oocytes and 7-day 3 embryos, her third ET cycle under ultrasound guide was successful. During pregnancy, in the first-trimester screening, nuchal translucency was reported to be 4.5 mm. Therefore, chorionic villous sampling and comparative genomic hybridization CGH-Array were performed before preparing for abdominal cerclage at 14 weeks. Further screening tests were normal. Finally, she delivered a 2430 g healthy baby girl through cesarean section at 37 weeks. Conclusions: The mock transfer and ultrasound-guided ET are suggested for women with a history of trachelectomy. | en |
| DOI | https://doi.org/10.5812/jnms-139231 | en |
| Keyword | Cervical Cancer | en |
| Keyword | Trachelectomy | en |
| Keyword | Fertility Preservation | en |
| Keyword | Infertility | en |
| Keyword | Case Report | en |
| Publisher | Brieflands | en |
| Title | Pregnancy Through Assisted Conception After Radical Trachelectomy: A Case Report | en |
| Type | Case Report | en |
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