Early pregnancy is elusive and robust.
We describe a live birth occurring following bilateral ovarian diathermy, hysteroscopy and dye test in women with clomiphene citrate resistant polycystic ovarian syndrome performed inadvertently during early pregnancy. A woman with polycystic ovarian syndrome resistant to Clomiphene citrate had bilateral laparoscopic ovarian diathermy performed inadvertently during early pregnancy. The patient was treated by Clomiphene citrate for 12 cycles then she had bilateral laparoscopic ovarian diathermy and hysteroscopy and dye test. Pelvic ultrasound examination, serum beta hCG, serum LH, FSH, Prolactin, T, SHBG, DHAS and serum E2 level. Successful outcome of pregnancy following bilateral laparoscopic ovarian diathermy and hysteroscopy and dye test inadvertently performed during early pregnancy. That all women scheduled for elective pelvic surgery should be advised to use effective contraception or avoid unprotected sexual intercourse in the preceding month as well as having an hCG test prior to surgery to exclude pregnancy.
AL-Mizyen
E
E
Specialist IVF Registrar, St Bartholomews and The Royal London School of Medicine and Dentistry, Royal London Hospital, London, E1 1BB.
Barnick
C G
CG
Grudzinskas
J G
JG
D000328:Adult; D002996:Clomiphene / Q000378:metabolism; D003267:Contraception / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011085:Polycystic Ovary Syndrome / Q000175:diagnosis / Q000601:surgery; D011247:Pregnancy / Q000502:physiology*; D011248:Pregnancy Complications / Q000175:diagnosis / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D012189:Retrospective Studies
D002996:Clomiphene