Successful twin live birth following a two-step embryo transfer in a patient with poor ovarian reserve: a case report

Twin live birth, a two-step embryo transfer in a patient with poor ovarian reserve

  • Emmanuel P Sefogah Department of Obstetrics and Gynaecology, University of Ghana Medical School, College of Health Sciences, Korle Bu, Accra, Ghana
  • Edem K Hiadzi Lister Hospital and Fertility Center, Airport Hills, Accra, Ghana
  • Michael Y Ntumy Department of Obstetrics and Gynaecology, University of Ghana Medical School, College of Health Sciences, Korle Bu, Accra, Ghana
  • Michael Yakass Lister Hospital and Fertility Center, Airport Hills, Accra, Ghana
Keywords: in-vitro, fertilisation, poor, ovarian, response, consecutive, embryo-transfer, twins, Ghana

Abstract

Globally, the prevalence of infertility ranges from 8 - 12%, but in Sub-Saharan Africa, it is 20 - 32%. The advent of assisted reproductive technology brought hope and has become a huge solution to the social and public health challenge of infertility. However, infertile women with poor ovarian reserve remain a frustrating dilemma to fertility experts worldwide. We report the case of a 32-year-old poor ovarian responder who was successfully treated with in-vitro fertilisation followed by two-step cleavage-stage and then blastocyst-stage embryo transfers in Ghana that resulted in twin live birth.

Published
2022-11-09