Is it possible to have an ectopic pregnancy with IUI?
Is it possible to have an ectopic pregnancy with IUI?
Bilateral simultaneous tubal pregnancy is an extremely rare form of ectopic pregnancy whose incidence has estimated to be one in 1500 ectopic pregnancies following IUI, therefore preoperative diagnosis is uncommon. The frequency of bilateral ectopic pregnancy is about 1 per 200,000 pregnancies (3, 4).
Can a heterotopic pregnancy be saved?
Sadly, no medical technology currently exists to move an ectopic pregnancy from the fallopian tubes to the uterus.
How is heterotopic pregnancy treated?
Heterotopic pregnancy treatment needs laparoscopy and, most often, a salpingectomy or salpingostomy. However, in hemodynamically unstable cases, laparotomy may be needed. Systemic methotrexate has no role in the management of heterotopic pregnancy due to the presence of a viable intrauterine pregnancy.
How rare is a heterotopic pregnancy?
Heterotopic pregnancy is a rare event with a reported incidence in the general population of 1 in every 7000 pregnancies. The incidence has increased due to widespread use of ART and history of PID to approximately 1 in 100 pregnancies. It’s extremely rare among patients who conceive naturally, <1 in 30,000 3, 4.
What does trigger shot do IUI?
What does the trigger shot do? Whereas other gonadotropins — like follicle-stimulating hormone (FSH) and LH — work on both growing and maturing the eggs, a trigger shot of hCG helps the ovaries release those mature eggs as part of ovulation.
Has anyone had a heterotopic pregnancy?
Introduction. Heterotopic pregnancies in natural cycles are a very rare event. The first case was reported in 1708 as an autopsy finding (Bright and Gaupp, 1990) and this condition is estimated to be less frequent than one in 30 000 pregnancies (Reece et al., 1983).
What are the symptoms of heterotopic pregnancy?
An ectopic pregnancy can cause your fallopian tube to burst or rupture. Emergency symptoms include major pain, with or without severe bleeding. Call your doctor right away if you have heavy vaginal bleeding with lightheadedness, fainting, or shoulder pain, or if you have severe belly pain, especially on one side.
What do you mean by heterotopic pregnancy?
Heterotopic pregnancy is defined as the presence of multiple gestations, with one being present in the uterine cavity and the other outside the uterus, commonly in the fallopian tube and uncommonly in the cervix or ovary.
What happens in a heterotopic pregnancy?
Are two mature follicles good for IUI?
Multifollicular growth is associated with increased pregnancy rates in IUI with COH. Since in cycles with three or four follicles the multiple pregnancy rate increased without substantial gain in overall pregnancy rate, IUI with COH should not aim for more than two follicles.