ABSTRACT
The incidence of ectopic pregnancy is increased since IVF-ET has started. The risk factors for ectopic pregnancy after assisted reproductive techniques are tubal abnormality, previous myomectomy, the number of transfered embryo, the technical aspects of embryo transfer, the amount of transfered medium and uterine reverse contraction after embryo transfer. Because of the possibility of combined pregnancy after IVF-ET, bilateral adnexal area should be examined by transvaginal ultrasonography at searching intrauterine gestational sac and also serial beta-hCG levels should be checked. We report a case of simultaneous left tubal and right ovarian pregnancies after IVF-ET with a brief review of literature.
Subject(s)
Female , Pregnancy , Embryo Transfer , Embryonic Structures , Gestational Sac , Incidence , Pregnancy, Ectopic , Reproductive Techniques, Assisted , Risk Factors , UltrasonographyABSTRACT
A heterotopic (combined) pregnancy, ectopic pregnancy accompanied by coexisting uterine pregnancy, is a rare phenomenon in general population. Recently, its incidence has increased significantly due to increased use of assisted reproductive technologies. But diagnosis of heterotopic pregnancy is often delayed or missed because heterotopic pregnancy is still rare and difficult to diagnose. We have a patient who had simultaneous intrauterine pregnancy and left tubal pregnancy after in vitro fertilization and embryo transfer. We performed left salpingectomy and she delivered 3.13 kg healthy female baby 32 weeks later. So we report this case with a brief review of the literatures.
Subject(s)
Female , Humans , Pregnancy , Diagnosis , Embryo Transfer , Embryonic Structures , Fertilization in Vitro , Incidence , Pregnancy, Ectopic , Pregnancy, Heterotopic , Pregnancy, Tubal , Reproductive Techniques, Assisted , SalpingectomyABSTRACT
Combined intrauterine and ectopic (heterotopic) pregnancy occurs in approximately 1 in 30,000 spontaneous gestations. Heterotopic gestations are increased in women who have had reconstructive pelvic surgery, Pelvic inflammatory disease and artificial ovarian hyperstimulation. Patients who require assisted reproductive technologies, such as in vitro fertilization / embryo transfer and gamete intrafallopian transfer, also have an increased risk of a heterotopic pregnancy. We experienced two cases of combined pregnancy following IVF-ET. Following is a report of these cases with a brief review of references.