Management of missed abortion in a patient with congenital cervical atresia.
OBJECTIVE
To describe a patient with congenital cervical atresia who became pregnant through IVF and thawed transmyometrial ET and then experienced a missed abortion.


METHODS
Case report.


METHODS
University hospital.


METHODS
A patient with congenital cervical atresia who underwent reconstructive surgery at 23 years of age and underwent IVF twice at 28 and 30 years of age.


METHODS
Abortion management.


METHODS
Medical follow-up of IVF-ET, resultant pregnancy, and abortion.


RESULTS
After the second cycle of IVF with frozen-thawed transmyometrial ET, the patient became pregnant but then experienced a missed abortion. Serum beta-hCG levels decreased, the two gestational sacs disappeared, and genital bleeding without signs of infection occurred 14 weeks after diagnosis of the abortion. The abortion was managed conservatively.


CONCLUSIONS
When assisted reproductive techniques are used in patients with congenital cervical atresia, the risks (including those relating to the management of an abortion) should be explained in detail to the couple and sufficient informed consent should be obtained before starting IVF-ET procedures.
Suganuma
Nobuhiko
N
Infertility Center, Toyohashi Municipal Hospital, Toyohashi, Japan. ivf@municipal-hospital.toyohashi.aishi.jp
Furuhashi
Madoka
M
Moriwaki
Takayuki
T
Tsukahara
Shin ichiro
Si
Ando
Tomoko
T
Ishihara
Yutaka
Y
D000030:Abortion, Missed / Q000097:blood / Q000150:complications* / Q000628:therapy*; D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities*; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy
D018997:Chorionic Gonadotropin, beta Subunit, Human