Live birth after segmented intracytoplasmic sperm injection and pessary management for severe uterine prolapse

Abstract

Segmentation of the assisted reproductive technology (ART) treatment not only assists patients with conception through the in vitro process but also, as in our case, with the motivation to manage a severe uterine prolapse. The patient was previously unsuccessful in the management of her severe uterine prolapse with a vaginal pessary and in conception with traditional in vitro fertilization treatment. Using segmented treatment pessary accustomization formed part of her treatment schedule and, therefore, added to the motivation to take control of her prolapse management. In addition, her prolapse management received clinical support for the duration of treatment. This is the first report on the successful use of segmented ART treatment and pessary support in a case of severe uterine prolapse. The segmented treatment schedule allowed the patient to progress from consultation to pregnancy test within a 3-month period.