RECURRENT CERVICAL PREGNANCY AFTER ASSISTED REPRODUCTION BY INTRAFALLOPIAN TRANSFER

Background: Cervical pregnancy is an uncommon, yet potentially catastr ophic form of ectopic pregnancy. Early diagnosis and intervention are important in avoiding short-term and long-term morbidity. Although tra nscervical embryo transfer is thought to increase the incidence of thi s phenomenon in patients undergoing in vitro fertilization, its occurr ence after intrafallopian transfer is rarely seen. Case: A 43-year-old nulliparous white female with a history of unexplained infertility ex perienced recurrent cervical pregnancy after two consecutive gamete/zy gote intrafallopian transfer cycles. Abnormally rising beta-hCG levels combined with transvaginal sonography helped establish the diagnosis in each case. Intramuscular (IM) methotrexate combined with intra-amni otic potassium chloride successfully treated this condition initially, and IM methotrexate alone was sufficient for successful treatment in the second case. Conclusion: Cervical pregnancy may occur with assiste d reproductive techniques involving intrafallopian transfer. Early dia gnosis may be important for successful treatment of cervical pregnancy with conservative measures. Even in the case of recurrence, prompt in tervention may allow for preservation of a patient's future fertility potential.