Document Detail


Ectopic pregnancy following emergency contraception with ethinyloestradiol-levonorgestrel: a case report.
MedLine Citation:
PMID:  17559018     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Emergency contraception with ethinyloestradiol-levonorgestrel is effective, and ectopic pregnancy following its failure is rare. CASE: A 21-year-old nulligravid Japanese woman with regular menstrual periods took ethinyloestradiol-levonorgestrel pills for emergency contraception (EC) 36 and 48 hours after a coitus complicated by retention of the condom in the vagina. She started bleeding vaginally 24 days after that intercourse. As the bleeding continued for three weeks she consulted a gynaecologist. The pregnancy test was positive. Two weeks later she complained of lower abdominal pain, and transvaginal ultrasonography suggested a pelvic blood collection. At emergency surgery, she was found to have a left tubal pregnancy. CONCLUSION: Although ectopic pregnancy after failure of EC is rare, one should be alert to its possible occurrence.
Authors:
Hiroshi Matsushita; Takeshi Takayanagi; Hirokazu Ikarashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception     Volume:  12     ISSN:  1362-5187     ISO Abbreviation:  Eur J Contracept Reprod Health Care     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-11     Completed Date:  2007-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712127     Medline TA:  Eur J Contracept Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  184-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Tsuruoka Municipal Shonai Hospital, Yamagata, Japan. matsuh@kf7.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Condoms
Contraception, Postcoital / adverse effects*
Contraceptives, Oral, Synthetic / administration & dosage,  adverse effects*
Estrogens / administration & dosage,  adverse effects*
Ethinyl Estradiol / administration & dosage,  adverse effects*
Female
Humans
Japan
Levonorgestrel / administration & dosage,  adverse effects*
Pregnancy
Pregnancy, Ectopic / etiology*,  surgery
Chemical
Reg. No./Substance:
0/Contraceptives, Oral, Synthetic; 0/Estrogens; 57-63-6/Ethinyl Estradiol; 797-63-7/Levonorgestrel

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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