Heterotopic Pregnancy Following Tuboplasty and Ovulation Induction by Clomiphene Citrate and Timed Intrauterine Insemination: Case Report

A Thai woman 36 year old with post tubal sterilization. She was performed for Tuboplasty to restore fertility on new marriage. Both fallopian tubes functioned post correction. She tried natural conception, but was not successful. The doctor treated her by the way of ovarian induction with Clomiphene Citrate and intrauterine insemination. She conceived in the 4th cycle, but she had an heterotopic pregnancy. Gestational sac, fetal echo and positive fetal heart beat were detected at both the intrauterine cavity and the right adnexa, and she had no abnormal symptoms. The Diagnostic Laparoscopy was performed. Following the operation an unruptured right tubal pregnancy was found. Right salpingectomy was done and the pathological report confirmed tubal pregnancy. Post operative time, she had no signs of abortion, and normal intrauterine growth was detected