Development of multiple ovarian follicles for in vitro fertilization in a patient with an undiagnosed ectopic pregnancy

Abstract

A recent study conducted in primates during midgestation has demonstrated that pregnancy-associated ovarian refractoriness is a reversible state. Follicular maturation and ovulation during those pregnancies was accomplished with the use of exogenous gonadotropins. Nevertheless, only indirect evidence of ovarian response to gonadotropins has been reported in the human. This report describes stimulation of folliculogenesis in a patient with an undiagnosed ectopic pregnancy with successful retrieval and fertilization of the oocytes and complete endoscopic removal of the tubal gestation.