Ovulation induction with pulsatile GnRH in a patient with anovulation of hypothalamic origin and central diabetes insipidus

Gynecol Endocrinol. 1998 Jun;12(3):203-7. doi: 10.3109/09513599809015546.

Abstract

Patients with diabetes insipidus (DI) are at high risk for dehydration, hypernatremia and hemodynamic instability. Ovarian hyperstimulation syndrome (OHSS) likewise has negative effects on electrolyte balance. If ovulation induction is required in a patient with DI, there is thus a strong argument for avoiding techniques that increase the risk of OHSS. This paper reports the results of ovulation induction in a patient with anovulation of hypothalamic origin and central (vasopressin deficit) DI. Ovulation was induced with pulsatile gonadotropin-releasing hormone (GnRH), which induces single-ovule cycles and which does not increase the risk of OHSS. The patient successfully achieved pregnancy after seven ovulatory cycles.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anovulation / blood
  • Anovulation / complications*
  • Diabetes Insipidus / blood
  • Diabetes Insipidus / complications*
  • Female
  • Gonadotropin-Releasing Hormone / therapeutic use
  • Growth Hormone / deficiency*
  • Humans
  • Ovulation Induction*
  • Pregnancy
  • Pregnancy Outcome

Substances

  • Gonadotropin-Releasing Hormone
  • Growth Hormone