Korean J Obstet Gynecol.  2003 Sep;46(9):1832-1836.

A Case of Heterotopic Pregnancy after Ovulation Induction

Affiliations
  • 1Department of Obstetrics and Gynecology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
  • 2Department of Diagnostic Radiology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
  • 3Department of Pathology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.

Abstract

Heterotopic pregnancy, simultaneous intrauterine and extrauterine pregnancy, classically was considered a exceedingly rare obstetrical phenomenon. But nowadays the natural incidence is increasing and especially in association with assisted reproductive technologies, such as use of variable methods for ovulation inductions, in-vitro fertilization and embryo transfer, and gamate intrafallopian transfer. In spite of the difficult early diagnosis, which is potentially dangerous to the mother and fetus, the maternal mortality, morbidity and fetal loss is low when the diagnosis is made in timely fashion and proper management is achieved. The presence of a intrauterine pregnancy dose not exclude the possibility of a extrauterine pregnancy, and in women associated with assisted reproductive technologies, the possibility of a heterotopic pregnancy should be considered. We report a case of a heterotopic pregnancy following ovulation induction and intrauterine insemination with brief review of literature.

Keyword

Heterotropic pregnancy; Assisted reproductive technologies; Ovulation induction; Clomiphene citrate use

MeSH Terms

Diagnosis
Early Diagnosis
Embryo Transfer
Female
Fertilization
Fetus
Humans
Incidence
Insemination
Maternal Mortality
Mothers
Ovulation Induction*
Ovulation*
Pregnancy
Pregnancy, Heterotopic*
Reproductive Techniques, Assisted
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