Heterotopic triplet pregnancy with bilateral tubal and intrauterine pregnancy after IVF.
Heterotopic pregnancy in a spontaneous cycle is rare, but the incidence increases with the introduction of assisted reproductive technologies. This report describes a case of combined bilateral tubal and intrauterine pregnancy after IVF and embryo transfer. The diagnostic and therapeutic problems will be discussed both in terms of the case report and the literature. Heterotopic pregnancies after IVF and resulting problems are further reasons to encourage the transfer of only one embryo. This could be difficult to achieve without simultaneously decreasing pregnancy rates, as embryo selection is not permitted in Germany.
Hoopmann
Markus
M
Department of Obstetrics and Gynecology, University of Cologne, Kerpener Strasse 34, 50931 Cologne, Germany.
Wilhelm
Lucas
L
Possover
Marc
M
Nawroth
Frank
F
D000328:Adult; D003424:Crohn Disease / Q000150:complications; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D011274:Pregnancy, Tubal; D012307:Risk Factors; D020554:Sperm Injections, Intracytoplasmic; D014310:Triplets