Twin pregnancy following gonadotrophin therapy in a patient with Sheehan'ssyndrome

A case of Sheehan's syndrome presented with secondary amenorrhea and was pu t on L-thyroxine, prednisolone and cyclical estrogen and progestin. Ovulati on induction with gonadotrophins and intrauterine insemination with husband 's semen resulted in a twin pregnancy. Antepartum course was complicated by bronchial asthma, gestational diabetes and pregnancy-induced hypertension. Cesarian section was done at 34 weeks gestation for preterm rupture of mem branes and breech presentation. Both babies and their mother were doing wel l at 6 months of follow-up. (C) 2000 International Federation of Gynecology and Obstetrics. All rights reserved.