Síndrome del folículo vacío genuino: a propósito de un caso

Empty follicle syndrome is a situation in which there is repeated failure to retrieve oocytes during follicular puncture-aspiration. There are 2 types of empty follicle syndrome: false and genuine. We report the case of a 38-year-old woman with a one-year history of primary sterility. After basic study of normal sterility, the patient underwent 4 unsuccessful artificial insemination cycles. We decided to carry out IVF-ICSI, and the patient underwent a total of 3 cycles. A long-agonist protocol was used in the first stimulation and an antagonist protocol in the remaining 2. In all stimulations, we confirmed the absence of medication errors and optimal levels of human chorionic gonadotropin. A diagnosis of genuine empty follicle syndrome was made because no oocytes were obtained during aspiration despite obtaining follicular development and appropriate levels of human chorionic gonadotropin pre-puncture. Oocyte donation is currently the best alternative.