Journal of Human Reproductive Science
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CASE REPORT Table of Contents   
Year : 2018  |  Volume : 11  |  Issue : 2  |  Page : 193-197
Assisted reproductive techniques in a patient with history of venous thromboembolism: A case report and review of literature


1 Department of Reproductive Medicine, Cloudnine Hospitals, Bengaluru, Karnataka, India
2 Department of Gynaecology, Cloudnine Hospitals, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Sumana Gurunath
Department of Reproductive Medicine, Cloudnine Hospitals, 47, 17th Cross, 11th Main, Malleshwaram, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jhrs.JHRS_58_17

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We report a patient with a history of venous thrombosis following oral contraceptive pills who was planned for in vitro fertilization (IVF)-intracytoplasmic sperm injection for male factor infertility. This article discusses the mechanisms for predisposition to thrombosis during assisted reproduction in patients at high risk. Assessment of risk before commencement of treatment, use of mild stimulation, antagonist protocol, avoiding ovarian hyperstimulation, use of gonadotropin-releasing hormone agonist trigger and avoiding exposure to human chorionic gonadotropin, frozen embryo transfer in a natural cycle, single embryo transfer, avoiding multiple pregnancy, and use of prophylactic or therapeutic anticoagulation are the various risk-reduction strategies that must be adopted during IVF treatment to reduce the risk of thrombosis to that of natural conception.


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