A Successful New Case of Twin Pregnancy in a Patient with Swyer Syndrome—An Up-to-Date Review on the Incidence and Outcome of Twin/Multiple Gestations in the Pure 46,XY Gonadal Dysgenesis

Izabela Winkler, Ilona Jaszczuk, Marek Gogacz, Piotr Szkodziak, Tomasz Paszkowski, Katarzyna Skorupska, Michał Ciebiera and Maciej Skrzypczak
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Izabela Winkler: Second Department of Gynecological Oncology, St. John’s Center of Oncology of the Lublin Region, 7 Jaczewskiego Street, 20-090 Lublin, Poland
Ilona Jaszczuk: Department of Pediatric Hematology, Oncology and Transplantology, Children Clinical Hospital, II Department of Pediatrics, Medical University of Lublin, 20-093 Lublin, Poland
Marek Gogacz: Second Department of Gynecology, Medical University of Lublin, 20-954 Lublin, Poland
Piotr Szkodziak: Third Department of Gynecology, Medical University of Lublin, 20-954 Lublin, Poland
Tomasz Paszkowski: Third Department of Gynecology, Medical University of Lublin, 20-954 Lublin, Poland
Katarzyna Skorupska: Second Department of Gynecology, Medical University of Lublin, 20-954 Lublin, Poland
Michał Ciebiera: Second Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-809 Warsaw, Poland
Maciej Skrzypczak: Second Department of Gynecology, Medical University of Lublin, 20-954 Lublin, Poland

IJERPH, 2022, vol. 19, issue 9, 1-11

Abstract: Background: The aim of the present study is to report a rare occurrence of a successful twin pregnancy in a woman with pure 46,XY gonadal dysgenesis. Result(s): A patient with Swyer syndrome (pure 46,XY gonadal dysgenesis) presented with a twin pregnancy after in vitro fertilization. Due to unidentified conditions, the patient developed selective intrauterine growth restriction in one of the fetuses. Twins were born at 33 weeks of pregnancy due to the risk of asphyxia. Nonetheless, the patient did not develop gonadal malignancies before the pregnancy and, despite receiving estrogen, remained amenorrheic. Conclusion(s): The aim of this case report is to show the course of twin pregnancy in patients with Swyer syndrome through assisted reproduction. Due to certain disorders in the development of their reproductive organs, such as the less mature uterus, such pregnancies may be associated with an increased risk. The above case report demonstrates the need to systematize methods of pregnancy management in patients with Swyer syndrome, such as: preparation for the pregnancy, assessment of the uterus, medications used, and necessary checkups. Capsule: This case report and review shows clinicians that patients with Swyer syndrome may become pregnant. Twin pregnancies may occur without any major problems through assisted reproduction.

Keywords: Swyer syndrome; twin pregnancy; pure gonadal dysgenesis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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