Heterotopic Pregnancy after Assisted Reproductive Techniques

International Journal of Fertility and Sterility

Ashraf Moini¹  Ladan Mohammadi Yeganeh²  Reihaneh Hoseini³ 

[1] Endocrinology and Female Infertility Department, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Gynecology and Obstetrics Department, Roointan-Arash Maternity Hospital, Tehran University of Medical Sciences, Tehran, Iran;Endocrinology and Female Infertility Department, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran;Gynecology and Obstetrics Department, Roointan-Arash Maternity Hospital, Tehran University of Medical Sciences, Tehran, Iran;

关键词: ectopic pregnancy;    assisted reproductive techniques;    in vitro fertilization;    embryo transfer;   

DOI  :  10.22074/ijfs.2010.45799

来源: DOAJ

【 摘 要 】

Heterotopic pregnancy (HP) is the simultaneous occurrence of intra- and extrauterine pregnancies. It is a rare event in spontaneous pregnancies with an incidence of less than 1:15000 however the frequency has increased to 1% in accordance with the widespread use of assisted reproductive techniques (ART). The pre-operative diagnosis of this condition is generally difficult and it would be life threatening for mother and the intrauterine pregnancy. In this report we present three cases of HP following ART. All cases underwent a standard long protocol and embryo transfers (ET) were performed 48 hours after oocyte retrievals. Finally two viable intrauterine gestations ended in miscarriages and the third resulted in the delivery of a healthy infant. The possibility of a heterotopic pregnancy following tubal pathologies endometriosis and pelvic adhesions should be considered by gynecologists during IVF procedures. Moreover by implantation of a single embryo the incidence of this risky condition will be dramatically reduced.

【 授权许可】

Unknown