Yousuf H J, Baillie P.
Value of pregnancy test in unexpected pregnancy in prolonged infertility.
J Pak Med Assoc Jan ;54(1):36.

A 32 year old female presented with a history of 2 miscarriages at 6 weeks of pregnancy followed by 10 years of infertility. A bilateral wedge resection for polycystic ovaries had been carried out 8 years ago and had resulted in regular periods. A post-surgical laparoscopy revealed a blocked left tube and a tortuous right tube with multiple adhesions, which were partially freed. An unsuccessful ICSI (Intra Cytoplasmic Sperm Injection) treatment cycle had been carried out elsewhere. General and pelvic examinations revealed no abnormality. Semen analysis of her husband showed a total count of 915 million, the morphology showing 45% normal forms and a motility of 70 percent (61% rapid linear progression). Special tests revealed positive anti-nuclear antibodies and anti-phospholipid antibody IgM levels of 15.6 m.i.u. per litre. Dispirin 75mg daily resulted in normalization on re-testing. The process of in vitro fertilization was started with gonadotrophin releasing hormone agonist (GnRHa) on day 21 of the cycle. No period resulted and a plasma ßHCG on day 30 was 153 iu/litre, diagnostic of pregnancy. The IVF cycle was stopped. The pregnancy progressed uneventfully and a normal male baby weighing 6 pounds 9 ounces was delivered by caesarean section for failure to progress in labour at 39 weeks of gestation.

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