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Pregnancy Outcomes in In Vitro Fertilization in 17-alpha-hydroxylase Deficiency

  • Annika van Oosbree
    Correspondence
    Corresponding author: Annika van Oosbree, , 1220 S Hawthorne Street, Sioux Falls, SD, 57105
    Affiliations
    Reproductive Endocrinology and Infertility, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

    University of South Dakota Sanford School of Medicine, Vermillion, SD
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  • Ayesha Asif
    Affiliations
    Reproductive Endocrinology and Infertility, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

    Lake Erie College of Osteopathic Medicine, Bradenton, FL
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  • Sarah Hmaidan
    Affiliations
    Reproductive Endocrinology and Infertility, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

    Vanderbilt University, Nashville, TN
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  • Alan DeCherney
    Affiliations
    Reproductive Endocrinology and Infertility, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
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Open AccessPublished:March 01, 2023DOI:https://doi.org/10.1016/j.xfre.2023.02.012
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      Abstract

      Since the first case of 17-alpha-hydroxylase-deficiency (17-OHD) was described in 1966, a number of cases have been reported with a clinical picture of hypertension, hypokalemia, and hypogonadism. Infertility is a major concern for some of these individuals. This mini review aims to detail the components of this disorder that affect fertility and focus on the recent acceleration in success of achieving live births, as well as highlight the unsuccessful attempts. The data supporting successful live births remains limited, but existing evidence suggests that in vitro fertilization (IVF) can be used in conjunction with hormone replacement therapy (HRT) and steroid suppression to achieve live birth in patients with infertility from 17-OHD.

      Keywords