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Inventi Impact: Obstetrics and Gynaecology

Articles

  • Inventi:hog/27690/18
    Case Report of Ectopic Pregnancy During Controlled Ovarian Stimulation Without Oocytes\nHarvested and Late Ovarian Hyperstimulation Syndrome
    Research 2019 : January - March
    Hui Lin, Wen He, Jie Lv, Chanlin Han, Li Sun, Jianping Ou, Liuhong Cai

    Here we reported a rare case of misdiagnosed ectopic pregnancy (EP) due to\nunintended ovulation during controlled ovarian stimulation (COS) in GnRH\nagonist cycle, resulting in no oocytes harvested and late hyper-stimulation\nsyndrome (OHSS). The patient was a 33-year old primary infertile woman\ndue to maleâ??s factors and underwent her second in vitro fertilization (IVF)\ncycle using GnRH agonist protocol, and no oocytes harvested on ovum\npicked-up (OPU) day. The start of gonadotropin usage was on day 8th of her\nperiod, and the P level increased rapidly and strangely high from day 8th after\ngonadotropin usage. The E2 level and follicles grew normally but finally no\noocytes harvested. She was diagnosed as late ovarian hyper-stimulation syndrome\n(OHSS) 7 days after OPU. 20 days after OPU, no menstruation come\nand a positive urine test of hCG were reported. And the patient was diagnosed\nas EP by laparoscopy. In conclusion, rapidly increased P level, no oocyte\nretrieval and late onset of OHSS should be very important clues to diagnose\nthis misdiagnosed EP.

    How to Cite this Article
    Lin, H., He, W., Lv, J., Han, C.L., Sun, L., Ou, J.P. and Cai, L.H. (2018) Case Report of\nEctopic Pregnancy during Controlled Ovarian Stimulation without Oocytes Harvested and Late Ovarian\nHyperstimulation Syndrome. Advances in Reproductive Sciences, 6, DOI: 10.4236/arsci.2018.63008, http://\ncreativecommons.org/licenses/by/4.0/.
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