Multifetal pregnancy in a gonadal dysgenesis mosaic.

Bardeguez, A D; De Ziegler, D; Weiss, G · Obstet Gynecol · 1990

case_report · Level V

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Abstract

A successful triplet gestation in a 45,X/46,XY woman is presented. A previously hypoplastic uterus was prepared for implantation by exogenous hormone replacement. Conception was achieved through in vitro fertilization of donor oocytes and transfer of four embryos into a hormonally primed endometrium. This case illustrates that some women with 45,X/46,XY karyotype can have a successful triplet pregnancy. Therefore, a conservative approach during gonadectomy in patients with a Y chromosome may be warranted.

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