May 2022 · Pregnancy reported
Case at a glance
- Age described
- 36
- AMH reported
- 0.54 ng/mL
- Previous IVF cycles
- 4 across 3 centers
- Eggs retrieved at INCITA
- 6, all mature and fertilized
- Blastocysts reported
- 4
- Screening findings described
- Normal and mosaic findings described
- Outcome recorded
- Pregnancy with fetal heartbeat
Four previous cycles
The patient was 36, with an AMH result reported as 0.54 ng/mL. Between 2016 and 2021 she underwent four IVF attempts across two centers in Thailand and a center in Shanghai. The earlier retrievals generally yielded seven or eight eggs, but no more than one blastocyst developed in a cycle. The history included an unsuccessful transfer, a cancelled stimulation and abnormal embryo chromosome findings.
Why maturity and timing were reviewed
During the consultation, the team asked for egg-maturity information from the previous centers. The clinical review indicated relatively slow follicle growth and raised questions about the timing of the trigger in those earlier cycles.
At the start of the INCITA stimulation, follicle sizes were uneven, with one larger follicle. Following discussion, the clinician focused on the remaining follicles and extended stimulation according to monitoring. The account describes this as a decision made for this patient’s response, rather than a fixed schedule for all patients.
Laboratory development at INCITA
The patient travelled to Phnom Penh for the January 2022 cycle. The account describes five to six antral follicles and the following laboratory findings:
Scroll across to view all columns.
| Stage | Finding recorded |
|---|---|
| Eggs retrieved | 6 |
| Mature eggs | 6 |
| Normally fertilized eggs | 6 |
| Blastocysts | 4: three graded 5AA and one graded 5BA |
| Chromosome screening | One normal result and one mosaic result were among the reported findings |
Transfer and the reported milestone
The account reports pregnancy with a fetal heartbeat after a transfer. It does not specify which testing category was transferred or provide a later birth record. The follow-up milestone is therefore pregnancy with fetal heartbeat.
The cycle illustrates why the initial egg count, the maturity report and the later embryo findings should be reviewed separately. See individual stimulation planning and understanding the laboratory sequence.
Images from this case
This is an individual account. Results depend on the patient and treatment circumstances and do not predict another person’s outcome.