M. Erman Akar

P11.07: Transabdominal oocyte pick up in a patient with mullerian agenesis and solitary pelvic kidney

A 24 year old patient presenting with primary amenorrhea and primary infertility of 6 years was diagnosed as MayerRokitansky-Küster-Hauser (MRKH) syndrome. She was confirmed to have a normal karyotype (46, XX) and normal sexual development. Serial hormonal determinations indicated normal ovarian function and appropriate early follicular FSH; LH levels(4.58IU/L;5.2IU/L). On evaluation of pelvis a solitary kidney was visualised with ultrasonography and MRI. Bilateral ovaries were located close to abdominal wall laterally. Her ovaries could not be adequately imaged transvaginally with a 5-MHz to 9-MHz transvaginal ultrasound probe. The ovaries located entirely lateral to bilateral pelvic brims were better visualized using a 2-MHz to 7-MHz transabdominal probe. Following controlled ovarian hyperstimulation and 36 hours after hCG trigger, eight M2 oocytes were retrieved transabdominal-transperitoneally with transvaginal ultrasound probe guidance (Figure 1). Four grade 1 embryos were vitrified. Transabdominal-transperitoneal ultrasound guided oocyte retrieval might be more adequate in selected cases.

P11.05: Pyosalpinx misdiagnosed as uterus didelphys in a patient with primary infertility

(PI) seen during the menstrual cycle were higher than at comparable times in the IVF cycle (Table 1). Repeated measures ANOVA showed the pattern of the IVF cycle RI and PI was significantly different to those seen in the menstrual cycle, P = 0.04 and P < 0.001 resp. No sig differences were seen with any of the other uterine artery indices between the menstrual and IVF cycles. There was no sigt difference between the women who conceived and those that did not in the change between POV or IMP menstrual and IVF cycle pulsed wave Doppler indices. Conclusions: IVF treatment is responsible for a fall in uterine artery resistance indices when compared with the menstrual cycle. The response to IVF treatment cannot be used to distinguish between women who will subsequently conceive or miscarry.