RECURRENT MOLAR PREGNANCY AFTER OVULATION INDUCTION AND REPEAT OVULATION INDUCTION - A CASE-REPORT

BACKGROUND: Although hydatidiform mole is not commonly encountered fol lowing ovulation induction, patients who have already had molar pregna ncies are at increased risk of developing further molar diseases with worsening histologic characteristics. That fact underlies the ethical dilemma of repeat ovulation induction. CASE: A 38-year-old woman, grav ida 3, para 0, had three consecutive episodes of hydatidiform subseque nt to clomiphene citrate and gonadotropin ovulation induction. She see ms to be the first in the literature to develop three consecutive mola r pregnancies without a normal intrauterine pregnancy. CONCLUSION: Alt hough ovulation induction commenced again in this patient after she ga ve informed consent, the risks underlying the ethical dilemma persist.