Extrauterine pregnancy after IVF/TESE: casuistic

Authors: MUDr. Vít Weinberger;  doc. MUDr. Igor Crha, CSc.
Authors‘ workplace: Gynekologicko-porodnická klinika ;  LF MU a FN Brno
Published in: Prakt Gyn 2006; 10(5): 180-181


Extrauterine pregnancy is a serious complication both in spontaneous pregnancy and in pregnancy achieved by methods of assisted reproduction. The rate of occurrence of ectopic pregnancy is estimated to be between 1 per 80 and 1 per 200 pregnancies [1]. Mortality has decreased from 4 ‰ to 0.5 ‰ since the 1970’s thanks to the introduction of new diagnostic methods [2]. Previous fallopian tube surgery, fallopian tube pathology and pelvic inflammatory disease are significant risk factors for extrauterine pregnancy. Hydrosalpinx is one of the most serious risk factors [3]. There are several hypotheses explaining the occurrence of extrauterine gravidity after embryo transfer: the transfer of the embryo directly to the fallopian tube, the influence of gravity, spontaneous migration of an embryo, the amount of cultivation medium, or high concentration of estradiol which moderates ciliary transport.

Key words:
extrauterine pregnancy – assisted reproduction – hydrosalpinx – pelvic inflammatory disease


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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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