IMR Press / CEOG / Volume 41 / Issue 4 / DOI: 10.12891/ceog17832014

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Failure to improve a thin endometrium in the late proliferative phase with uterine infusion of granulocyte-colony stimulating factor
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1 Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, New Jersey
2 Philadelphia College of Osteopathic Medicine, Department of Obstetrics and Gynecology, Philadelphia, Pennsylvania (USA)
Clin. Exp. Obstet. Gynecol. 2014, 41(4), 473–475; https://doi.org/10.12891/ceog17832014
Published: 10 August 2014
Abstract

Purpose: To determine if the treatment with uterine infusion of granulocyte colony-stimulating factor (G-CSF) can improve endometrial thickness in an infertile woman with a double uterus, who consistently showed a thin endometrium in the late proliferative phase either in controlled ovarian hyperstimulation (COH) IVF-ET cycles or with graduated estrogen/sildenafil protocols for frozen embryo transfer (ET). Materials and Methods: A single uterine infusion of G-CSF was performed in the late proliferative phase in a woman who only attained a five-mm thickness despite a high dose vaginal and oral estradiol regimen plus sildenafil. Results: No increase was found within a couple days. Conclusions: A previous four-case study in another center found 100% improvement in the endometrial thickness in women with consistently thin endometria. Perhaps the uterine anomaly in the present case prevented the response of the endometrium.
Keywords
Granulocyte colony-stimulating factor
Thin endometrium
In vitro fertilization-embryo transfer
Intrauterine infusion
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