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Human Reproduction, Vol. 11, No. 3, pp. 531-532, 1996
© 1996 European Society of Human Reproduction and Embryology

An unexpected guest in follicular fluid

Angelique J. Goverde1,3, Roel Schats1, Patricia J.M. van Berlo1 and Frans A.P. Claessen2

1 IVF Centre, Department of Obstetrics and Gynaecology, University Hospital Vrije Universiteit De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands 2 Department of Internal Medicine, University Hospital Vrije Universiteit Amsterdam, The Netherlands

Correspondence: 3To whom correspondence should be addressed

Parasitic infection as the only or concomitant cause of infertility in Caucasian women is rare. A parasitic infection may also present itself quite unexpectedly as a coincidental finding as shown with this case report Moving microfilariae of Mansonella perstans were found in the aspirated follic-ular fluid of a patient who underwent in-vitro fertilization (TVF) with embryo transfer because of tubal pathology due to Chlamydia trachomatis. The patient also appeared to have a Schistosoma infection. To our knowledge, the presence of parasites in follicular fluid has never been reported before. We expect that infertility physicians may be confronted with parasitic infections more often, not only in patients originating from tropical countries but also in Western women as a result of a tendency to travel more frequently to exotic and (sub)tropical countries.

Key words: follicular fluid/infertility/Masonella perstans/parasites/schistosomiasis

Submitted on October 16, 1995; accepted on December 14, 1995.


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