Monozygotic twins in infertile patients with advanced maternal age: case reports and review of the literature

Objective To report two cases of successful monozygotic twin pregnancies in women undergoing infertility treatment and to review possible etiologic factors. Design Case report and review of the literature. Setting University of Toronto–affiliated infertility clinic. Patient(s) A 43-year-old woman an...

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Veröffentlicht in:Fertility and sterility 2009-09, Vol.92 (3), p.1168.e9-1168.e12
Hauptverfasser: Esfandiari, Navid, D.V.M., Ph.D., H.C.L.D, Kapoor, Monica, M.D, Burjaq, Hasan, B.Sc., M.T, Chang, Paul, M.D, Gotlieb, Lynda, R.N, Casper, Robert F., M.D
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container_end_page 1168.e12
container_issue 3
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container_title Fertility and sterility
container_volume 92
creator Esfandiari, Navid, D.V.M., Ph.D., H.C.L.D
Kapoor, Monica, M.D
Burjaq, Hasan, B.Sc., M.T
Chang, Paul, M.D
Gotlieb, Lynda, R.N
Casper, Robert F., M.D
description Objective To report two cases of successful monozygotic twin pregnancies in women undergoing infertility treatment and to review possible etiologic factors. Design Case report and review of the literature. Setting University of Toronto–affiliated infertility clinic. Patient(s) A 43-year-old woman and a 44-year-old woman with history of secondary infertility. Intervention(s) In vitro fertilization and ET. Main Outcome Measure(s) Monozygotic twin pregnancy. Result(s) Delivery of two sets of monozygotic twins. Conclusion(s) The only identified potential risk factors for monozygotic twins are maternal age and assisted reproductive technologies. Both patients reported here were aged >40 years and underwent assisted reproduction procedures, including high-dose gonadotropin stimulation, embryo culture, and, in case 2, intracytoplasmic sperm injection plus assisted hatching.
doi_str_mv 10.1016/j.fertnstert.2009.05.085
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subjects Adult
Female
Humans
Infertility, Female - therapy
Internal Medicine
IVF
Maternal Age
Monozygotic twinning
Obstetrics and Gynecology
Pregnancy
Pregnancy Outcome
Reproductive Techniques, Assisted
Risk Factors
Twins, Monozygotic
title Monozygotic twins in infertile patients with advanced maternal age: case reports and review of the literature
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