20 November 2020 : Review article
Infertility in Female and Male Solid Organ Recipients – From Diagnosis to Treatment: An Up-To-Date Review of the Literature
Iwona Szymusik1ABCDEF, Damian Warzecha1ABCDEFG*, Mirosław Wielgoś1DEG, Bronisława Pietrzak1ACDEFGDOI: 10.12659/AOT.923592
Ann Transplant 2020; 25:e923592
Background
The Problem of Infertility in Female Graft Recipients
The Problem of Infertility in Male Graft Recipients
Corticosteroids
Azathioprine
Calcineurin Inhibitors (Cyclosporine A and Tacrolimus)
Cyclophosphamide
mTOR Inhibitors (Sirolimus, Everolimus)
Mycophenolate
New Immunosuppressants
Infertility Treatment
Conclusions
References
Table 1 IVF pregnancies in solid organ recipients (published data).
| Authors/year of publication | Transplanted organ | Cause of infertility | Number of fetuses | Pregnancy complications | Gestational week at delivery |
|---|---|---|---|---|---|
| Lockwood et al., 1995 []58 | Kidney | Tubal factor | 2 | Deep vein thrombosis, PROM | 29 |
| Furman et al., 1999 [59 (2 cases) | Kidney | Anovulation | 2 | Preeclampsia | 33 |
| 3 (reduced to 2) | No complications | 36 | |||
| Khalaf et al., 2000 []60 | Kidney | Tubal factor | 2 | OHSS | 30 |
| Case et al., 2000 []61 | Liver | Male factor | 2 | Preeclampsia | 34 |
| Tamaki et al., 2003 []62 | Kidney | No data | 1 | No data | 35 |
| Ulug et al., 2005 []63 | Liver | Male factor | 1 | Preterm delivery | 31 |
| Fichez et al., 2008 []64 | Kidney and pancreas | Tubal factor | 1 | Hypertension | 34 |
| Nouri et al., 2011 []65 | Kidney | Male factor | 1 | No complications | 37 |
| Choi et al., 2013 []65 | Liver | Male factor, endometriosis | 1 | No complications | 38 |
| Norrman et al., 2014 [] (7 women, 8 IVF pregnancies; Swedish population – deliveries in 1996–2007; one woman – 2 IVF deliveries)67 | Kidney | No data | 2 | Hypertension, anemia | 30 |
| 1 | No complications | 40 | |||
| 1 | Kidney function deterioration | 39 | |||
| 1 | No complications | 38 | |||
| 1 | Kidney function deterioration | 36 | |||
| 1 | Hypertension | 38 | |||
| 1 | Severe preeclampsia, IUGR | 27 | |||
| 1 | No complications | 38 | |||
| Pietrzak et al., 2015 []68 | Kidney | Tubal factor | 1 | Preeclampsia, IUGR, anemia | 34 |
| Warzecha et al., 2018 (3 cases) []69 | Kidney | Tubal factor | A case described earlier by Pietrzak et al., the same patient underwent another IVF procedure and delivered at 36 weeks (personal unpublished data) | ||
| Idiopathic infertility | 1 | Gestational diabetes | 36 | ||
| Tubal factor | 1 | Preeclampsia | 34 | ||
| PROM – premature rupture of membranes; IUGR – intrauterine growth restriction; OHSS – ovarian hyperstimulation syndrome. | |||||






