Successful pregnancy following medical management of heterotopic pregnancy
We present a case of sonographic demonstration of quadruplet heterotopic pregnancy consisting of twin intrauterine (IU) pregnancy and a twin adnexal pregnancy after ovulation induction (OI) with clomiphene citrate (CC) and timed intercourse (TI). Both heterotopic pregnancy and spontaneous twinning...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2009-01-01
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| Series: | Journal of Human Reproductive Sciences |
| Subjects: | |
| Online Access: | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2009;volume=2;issue=1;spage=35;epage=40;aulast=Lavanya |
| _version_ | 1818148534958948352 |
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| author | R Lavanya K Deepika Madhuri Patil |
| author_facet | R Lavanya K Deepika Madhuri Patil |
| author_sort | R Lavanya |
| collection | DOAJ |
| description | We present a case of sonographic demonstration of quadruplet heterotopic pregnancy consisting of twin intrauterine (IU) pregnancy and a twin adnexal pregnancy after ovulation induction (OI) with clomiphene citrate (CC) and timed intercourse (TI). Both heterotopic pregnancy and spontaneous twinning are frequent after OI, this combination although extremely rare must be kept in mind. The role of early transvaginal sonography and serum beta human chorionic gonadotrophin after missed periods helps in early diagnosis. It gives us an opportunity for medical management, saving the patient the agony of surgery along with loss of pregnancy. The management of heterotopic pregnancy is controversial. This patient did not have a viable IU pregnancy and both the sacs in the adnexa were small. Thus, we treated her successfully by medical management with systemic methotrexate, with regular follow-up. This patient successfully conceived after 6 months with OI and TI, with ovulation occurring from the same side of the previous ectopic. She had a viable IU gestation corresponding to 12 weeks. |
| first_indexed | 2024-12-11T12:52:41Z |
| format | Article |
| id | doaj.art-806abb18acb44d4aa85841d25e259854 |
| institution | Directory Open Access Journal |
| issn | 0974-1208 1998-4766 |
| language | English |
| last_indexed | 2024-12-11T12:52:41Z |
| publishDate | 2009-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj.art-806abb18acb44d4aa85841d25e2598542022-12-22T01:06:39ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662009-01-0121354010.4103/0974-1208.51350Successful pregnancy following medical management of heterotopic pregnancyR LavanyaK DeepikaMadhuri PatilWe present a case of sonographic demonstration of quadruplet heterotopic pregnancy consisting of twin intrauterine (IU) pregnancy and a twin adnexal pregnancy after ovulation induction (OI) with clomiphene citrate (CC) and timed intercourse (TI). Both heterotopic pregnancy and spontaneous twinning are frequent after OI, this combination although extremely rare must be kept in mind. The role of early transvaginal sonography and serum beta human chorionic gonadotrophin after missed periods helps in early diagnosis. It gives us an opportunity for medical management, saving the patient the agony of surgery along with loss of pregnancy. The management of heterotopic pregnancy is controversial. This patient did not have a viable IU pregnancy and both the sacs in the adnexa were small. Thus, we treated her successfully by medical management with systemic methotrexate, with regular follow-up. This patient successfully conceived after 6 months with OI and TI, with ovulation occurring from the same side of the previous ectopic. She had a viable IU gestation corresponding to 12 weeks.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2009;volume=2;issue=1;spage=35;epage=40;aulast=LavanyaHeterotopic/ectopic pregnancymedical management of ectopic gestationovulation inductiontimed intercoursetransvaginal sonography |
| spellingShingle | R Lavanya K Deepika Madhuri Patil Successful pregnancy following medical management of heterotopic pregnancy Journal of Human Reproductive Sciences Heterotopic/ectopic pregnancy medical management of ectopic gestation ovulation induction timed intercourse transvaginal sonography |
| title | Successful pregnancy following medical management of heterotopic pregnancy |
| title_full | Successful pregnancy following medical management of heterotopic pregnancy |
| title_fullStr | Successful pregnancy following medical management of heterotopic pregnancy |
| title_full_unstemmed | Successful pregnancy following medical management of heterotopic pregnancy |
| title_short | Successful pregnancy following medical management of heterotopic pregnancy |
| title_sort | successful pregnancy following medical management of heterotopic pregnancy |
| topic | Heterotopic/ectopic pregnancy medical management of ectopic gestation ovulation induction timed intercourse transvaginal sonography |
| url | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2009;volume=2;issue=1;spage=35;epage=40;aulast=Lavanya |
| work_keys_str_mv | AT rlavanya successfulpregnancyfollowingmedicalmanagementofheterotopicpregnancy AT kdeepika successfulpregnancyfollowingmedicalmanagementofheterotopicpregnancy AT madhuripatil successfulpregnancyfollowingmedicalmanagementofheterotopicpregnancy |