[Ovarian stimulation with gonadotropins in undetected tubal pregnancy within the scope of in vitro fertilization].

The authors report on a patient who was pretreated with a depot GnRH-analog previous to exogenous gonadotropin stimulation before in-vitro fertilisation (IVF). The patient had an undiagnosed ectopic pregnancy. Folliculogenesis and the hormone profile were normal.

von Willebrand factor: an endothelial marker to monitor in-vitro fertilization patients with ovarian hyperstimulation syndrome.

A retrospective study was conducted to evaluate the possible role of endothelial and extracellular factors in the pathophysiology of ovarian hyperstimulation syndrome (OHSS). Plasma changes in von Willebrand-Jürgen factor were correlated with the clinical condition of hyperstimulated patients, since the rise of capillary permeability is the central event in all subsequent morbidity. The corresponding oestradiol levels and ultrasound parameters were assessed.

[Extension of the concept of extracorporeal fertilization by cryopreservation of impregnated oocytes].

Cryopreservation of human embryos within in-vitro fertilization treatment was already proposed in 1977 by Edwards and Steptoe. Today, this procedure is used worldwide by several teams as a standard method to enhance the success rate of IVF. In spite of this, there are many disadvantages of the freezing of embryos, furthermore it is legally prohibited in Germany.