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Case Report- A challenging case of severe Asherman’s syndrome in Reproductive MedicineFollowed by twin delivery by Lamiya Mohiyiddeen in Journal of Clinical Case Reports MedicaI Images and Health Sciences

  Case Report- A challenging case of severe Asherman’s syndrome in Reproductive MedicineFollowed by twin delivery by Lamiya Mohiyiddeen in Journal of Clinical Case Reports MedicaI Images and Health Sciences  INTRODUCTION This is a case report of a severe case of Asherman’s Syndrome who underwent multiple hysteroscopic procedures and embryo transfers over a span of 10 years. Her last embryo transfer was successful after the 5 th  hysteroscopy and high dose estrogen treatment. She delivered preterm twin babies. CASE REPORT Mrs. A was first seen with infertility and secondary amenorrhea. She was nulliparous with history of two surgical evacuations. Her pelvic scan showed very thin endometrium of 2.5mm. She had hysteroscopy done 3 times to manage intrauterine adhesions in other centers. When she then attended to start IVF treatment at St. Mary’s her FSH/LH level was very high and she was diagnosed premature ovarian failure. She underwent In Vitro Fertilization (IVF) cycle ...