Roshan Nikbakht - Fertility and Infertility Research Center, Jundishapur University of Medical Science, Ahvaz, Iran
Parvin Dorfeshan - Department of Social Medicine, Faculty of Medicine, Jundishapure University of Medical Sciences, Ahvaz, Iran
Narjes Dibavand - Fertility and Infertility Research Center, Jundishapur University of Medical Science, Ahvaz, Iran
Mahsa Afrough - Reproductive Biology research, infertility research and treatment center of ACECR, Khuzestan, Ahvaz, Iran

In a treatment cycle of in vitro fertilization (IVF), 15% of the oocytes are immature and present in germinal vesicle (GV) phase. Rarely happens, more than 50% of the oocytes of one patient are immature per cycle. It is an enormous challenge to select the kind of treatment for infertility in these patients. The patient was a 35-year-old woman who had primary infertility for 10 years. She had undergone 6-time unsuccessful infertility treatment cycles of IVF during the treatment. In these cycles, more than 50% of the oocytes were immature and in GV phase. In this matter, we developed a coordinated clinical-embryology laboratory therapeutic protocol for the patient by studying the patient’s medical records of unsuccessful cycles. The development of a special and coordinated clinical-embryology laboratory protocol was efficient, as compared with the commonly used independent clinical and laboratory protocols, to achieve the best outcomes in such patients

Assisted Reproductive Techniques, Infertility, In Vitro Fertilization