Document Detail


Intra-uterine insemination, cervical pregnancy and successful treatment with methotrexate.
MedLine Citation:
PMID:  7989526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cervical pregnancy is rare but one of the most dangerous of all pregnancy complications. The aetiology of cervical implantation is unclear and because of the fear of profuse haemorrhage abdominal hysterectomy has been historically considered the standard therapy. We report here an unusual case of an infertile woman with cervical ectopic pregnancy after ovulation induction with gonadotrophins and intrauterine insemination. The patient was successfully treated with parenteral methotrexate without significant morbidity. It is concluded that chemotherapy should be initially considered in most cervical pregnancies either as the sole form of treatment or to improve the chances of success in alternative conservative measures.
Authors:
J Balasch; J Peñarrubia; J L Ballescá; M Creus; R Casamitjana; J A Vanrell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  9     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1995-01-12     Completed Date:  1995-01-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1580-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of Barcelona, Hospital Clínic i Provincial, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervix Uteri*
Female
Follicle Stimulating Hormone / administration & dosage,  therapeutic use
Humans
Infertility, Male / therapy
Insemination, Artificial*
Leuprolide / administration & dosage,  therapeutic use
Male
Methotrexate / administration & dosage,  therapeutic use*
Ovulation Induction
Pregnancy
Pregnancy, Ectopic / drug therapy*
Uterine Hemorrhage
Chemical
Reg. No./Substance:
53714-56-0/Leuprolide; 59-05-2/Methotrexate; 9002-68-0/Follicle Stimulating Hormone

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


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