Re: Male partner association with anembryonic gestation

From: Glen Elrod (dr99645@yahoo.com)
Wed Apr 23 17:22:15 2008


Thanks Lynn. No where can I find (at least on Google Scholar) and article that points toward that association. Even if there were an association I would think it only could be a chromosomal problem. Sperm morphology wouldn't cause it, so semen analysis wouldn't help. He is just getting a bit frustrated that he has had three conceptions, but no children yet.

Glen >

----- Original Message ---- From: Lynn Montgomery <apgar10@thebirthcentermt.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Wednesday, April 23, 2008 1:08:47 PM Subject: RE: Male partner association with anembryonic gestation

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Glen, Unfortunately, based on available data, this is likely an unfortunate coincidence. With the spontaneous loss rate approaching 25%, this unfortunate series of events is certainly possible. For several years out of training, I routinely obtained both maternal and paternal karyotypes of parents who lost three consecutive first trimester pregnancies – never found one abnormal. Because of my experience, as well as that in the literature, I have stopped checking, which saves a couple about $1,000. Just my thoughts, Lynn Lynn D. Montgomery, M.D. Obstetrics & Gynecology, Maternal-Fetal Medicine The Birth Center/Rocky Mountain Women's Health 1211 S. Reserve St. Missoula, Montana , 59801 406-549-0978 fax 406-549-0987 e-mail: apgar10@thebirthcentermt.com

From: ob-gyn-l@obgyn.net[mailto:ob-gyn-l@obgyn.net] On Behalf Of GlenElrod Sent: Wednesday, April 23, 20081:34 PM To: Multiple recipients of listOB-GYN-L Subject: Male partner associationwith anembryonic gestation I am seeing a couple that I just diagnosed with an anembryonicgestation (blighted ovum) with a gestational sac measuring 6+5 wks without yolksac or fetal pole. hCG was 79K now 77K.

She gives the history that her husband has had two previous partners that havegotten pregnant and have also had anembryonic gestations. This now makeshis third female partner to experience such a loss. Is there anyconnection between male factors and anembryonic gestations? Would chromosomaltesting of him be warranted with that history?

Thanks,

Glen

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