RESUMO
Although heterotopic gestation is common in assisted reproductive techniques, it is very rare in natural conception and clomiphene induced pregnancy. Diagnosis and appropriate intervention of heterotopic pregnancy requires a high index of suspicious. In this paper a case of heterotopic pregnancy in a 30-year old woman with hemoperitoneum from ruptured tubal pregnancy with live intrauterine gestation at 9 weeks of gestation is reported. This case suggests that a heterotopic pregnancy must always be considered particularly after the induction of ovulation by clomiphene citrate or assisted reproductive technology. Every clinician treating women of reproductive age should keep this diagnosis in mind. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality
RESUMO
This study evaluated the effect of age on ovarian response to gonadotropin stimulation and the success of IVF and ICSI cycles. In this retrospective analytic study, 280 women undergoing first IVF and ICSI cycles were collected. Patients were divided in three groups: <35 years old, 35- 39 years and e"40 years old. Stimulation protocol for all patients was Long standard protocol. There were significant decrease in the number of follicles, oocytes retrieved and embryos obtained with increasing age [p<0.05]. Fertilization rate did not differ significantly with increasing age [P>0.05]. Clinical pregnancy rate were 21.8% in patients < 35, 13.2% in patients 35-39 and 5.9% in e"40 [p= 0.157] and Live birth rate were 14.2% in patients <35,7.9% in 35-39 and 5.9% in e"40 years old. [p= 0.50]. Clinical pregnancy rate and live birth rate diminished with increasing age