A potted history of ovulation induction

2005 ◽  
pp. 1-4
Keyword(s):  
Ovulation Induction ◽  
History Of

scholarly journals Multiple bilateral dermoid cysts with ectopic pregnancy: a rare case report

2020 ◽  
Vol 10 (1) ◽  
pp. 358
Author(s):  
Divya Agrawal
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Dermoid Cyst ◽  
Ovulation Induction ◽  
Rare Case ◽  
Cystic Teratoma ◽  
Ovarian Neoplasm ◽  
Ovarian Stroma ◽  
Rare Case Report ◽  
History Of

Mature cystic teratoma (dermoid) is a common ovarian neoplasm but less frequently occurs bilaterally specially with ectopic pregnancy. It poses challenge in management in a young woman with history of infertility where preservation of ovarian stroma takes the priority. Here presented case of 30-year-old para 0, gravida 1 women who was diagnosed with ectopic pregnancy with history of infertility of 4 years. She underwent laparotomy where salpingectomy was done owing to tubal rupture. Dermoid cyst was removed simultaneously. When both ovaries were palpated, three more dermoids were found and taken off as well. Earlier ovulation induction was given before adhesions take upper hand and patient was pregnant in first cycle.  

scholarly journals Management of Quadruplet Pregnancy: A Case Report

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Lhakpa Dolma Lama ◽  
Tanya Das ◽  
Asmita Neupane ◽  
Roshan Lama ◽  
Rakshya Pandey ◽  
...  
Keyword(s):  
Case Report ◽  
Ovulation Induction ◽  
Multidisciplinary Approach ◽  
Neonatal Morbidity ◽  
Successful Outcome ◽  
Obstetric Outcome ◽  
Lower Segment ◽  
Risk Pregnancy ◽  
History Of ◽  
Cesarian Section

Quadruplet pregnancy is a pregnancy state where four fetuses grow simultaneously inside a mother’s womb. Four fetuses developing in a womb is a challenge not only to the mother but to the obstetrician who has to calculate every risk associated with such pregnancy. High order pregnancy is considered a high risk pregnancy due to increase in maternal, fetal and neonatal morbidity and mortality. So a multidisciplinary approach with early involvement of neonatologists and anesthesiologists for the assessment of such case is essential for a successful obstetric outcome. Here we present a case report of 27 years G3P1L1A1 at 33 weeks 2 days of gestation with quadruplet pregnancy with previous lower segment Cesarian section with history of ovulation induction, delivered successfully via cesarean section with successful outcome of all 1 female and 3 male babies.

scholarly journals Risk Factors for Early and Late Onset Preeclampsia in Reunion island: Multivariate Analysis of Singleton and Twin Pregnancies. A 20-year Population-Based Cohort of 2120 Preeclampsia Cases

2021 ◽  
Author(s):  
Pierre-Yves Robillard ◽  
Malik Boukerrou ◽  
Gustaaf Dekker ◽  
Marco Scioscia ◽  
Francesco Bonsante ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ovulation Induction ◽  
Late Onset ◽  
Population Based ◽  
Multivariate Model ◽  
Chronic Hypertension ◽  
Historical Cohort ◽  
History Of ◽  
Twin Pregnancies

Objectives: To develop a multivariate model for risk factors specific to early onset preeclampsia (EOP) and late onset preeclampsia (LOP) in our entire population (singleton and twin pregnancies). Material and methods: 20 year-observational population-based historical cohort study (2001-2020). All consecutive births delivered at the Centre Hospitalier Universitaire Hospitalier Sud Reunion’s maternity. A standardized validated epidemiological perinatal data base. Results: During the 20-year period, there were 81,834 pregnancies and 83,555 infants born, 1232 dichorionic and 350 monochorionic twin pregnancies. There were 2120 cases of preeclampsia, of which 2001preeclamptic singleton pregnancies and 119 twin pregnancies (incidence 7.5% in twin pregnancies vs 2.5% singletons, OR 3.0, p<0.001). Independent risk factors for EOP and LOP in a multivariate model (controlling for the two major confounders: namely maternal ages -both risks for EOP and LOP- and maternal pre-pregnancy BMI – specific risk factor for LOP) were: history of preeclampsia (aOR 11.7 for EOP, 7.8 for LOP, p < 0.0001), chronic hypertension (aOR 7.3 for EOP, 3.9 for LOP, p < 0.0001), history of perinatal death (aOR 2.2 for EOP, p < 0.0001 and 1.48 for LOP, p= 0.007), primipaternity (aOR 3.0 for EOP and 3.6 for LOP, p = 0.001), dizygotic twin pregnancies (aOR 3.7 for EOP, p < 0.0001 and 2.1 for LOP, p = 0.003), monozygotic twin pregnancies (aOR 3.98 for EOP, p = 0.003 and NS for LOP), ovulation induction (aOR 5.6 for EOP, p = 0.004 and NS for LOP), and in vitro fertilization (aOR 2.8 for EOP, p = 0.05 and NS for LOP). Specific to LOP and NS for EOP: renal diseases (aOR for LOP 2.9, p= 0.007) and gestational diabetes mellitus (aOR 1.2, p= 0.04). Conclusions: Maternal ages over 35 years, chronic hypertension , history of preeclampsia, ovulation induction, in vitro fertilizations, history of perinatal deaths and twin pregnancy (in our experience, especially mono zygotic twin pregnancies) are significant risk factors for EOP. New paternity is an independent factor for both EOP and LOP.

scholarly journals Silent primary ovarian ectopic pregnancy following ovulation induction: diagnostic dilemma

2021 ◽  
Vol 10 (9) ◽  
pp. 3654
Author(s):  
Kalyani Saidhandapani ◽  
Yashaswi Pandey ◽  
Priya Shaunthini
Keyword(s):  
Ovulation Induction ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Ovarian Pregnancy ◽  
Threatening Condition ◽  
Reproductive Techniques ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Urine Pregnancy Test

Early diagnosis of an ovarian pregnancy, of all the diagnoses relating to extrauterine gestations, is perhaps a diagnostic challenge faced by an obstetrician and a radiologist. About 0.5% of extrauterine implantations occur in the ovary. Recent studies have demonstrated infertility and Assisted reproductive techniques (ARTs), multiparity, use of intrauterine devices as risk factors for ovarian ectopic. Knowledge pertaining to ovulation induction and risk of ovarian ectopic is even more scant. In this article, we report a case report of ovarian pregnancy following ovulation induction with letrozole. Patient visited with history of missed menstrual period, mild abdominal pain and a weakly positive urine pregnancy test. Provisional diagnosis of right tubal ectopic was made. Diagnosis of ruptured ovarian ectopic was made on explorative laparoscopy which was later confirmed histopathologically. Patient had normal intra and post-operative course. An ovarian ectopic can present as a life-threatening condition and a high index of suspicion can prevent morbidity as well as mortality. Ovarian pregnancy in a primigravida with ovulation induction without an alarming sign, as in this case, is the rarest entity came across till date.

scholarly journals Risk Factors for Early and Late Onset Preeclampsia in Reunion Island: Multivariate Analysis of Singleton and Twin Pregnancies. A 20-Year Population-Based Cohort of 2120 Preeclampsia Cases

2021 ◽  
Vol 2 (3) ◽  
pp. 131-143
Author(s):  
Pierre-Yves Robillard ◽  
Malik Boukerrou ◽  
Gustaaf Dekker ◽  
Marco Scioscia ◽  
Francesco Bonsante ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ovulation Induction ◽  
Late Onset ◽  
Population Based ◽  
Multivariate Model ◽  
Chronic Hypertension ◽  
Historical Cohort ◽  
History Of ◽  
Twin Pregnancies

Objectives: To develop a multivariate model for risk factors specific to early onset preeclampsia (EOP) and late onset preeclampsia (LOP) in our entire population (singleton and twin pregnancies). Material and methods: 20 year-observational population-based historical cohort study (2001–2020). All consecutive births delivered at the Centre Hospitalier Universitaire Hospitalier Sud Reunion’s maternity ward. A standardized validated epidemiological perinatal database was used. Results: During the 20-year period, there were 81,834 pregnancies and 83,497 infants born, 1232 dichorionic and 350 monochorionic twin pregnancies. There were 2120 cases of preeclampsia, of which 2001 were preeclamptic singleton pregnancies and 119 twin pregnancies (incidence 7.5% in twin pregnancies vs. 2.5% singletons, OR 3.0, p < 0.001). Independent risk factors for EOP and LOP in a multivariate model (controlling for the two major confounders: maternal ages—both risks for EOP and LOP, and maternal pre-pregnancy BMI—specific risk factor for LOP) were: history of preeclampsia (adjusted OR (aOR) 11.7 for EOP, 7.8 for LOP, p < 0.0001), chronic hypertension (aOR 7.3 for EOP, 3.9 for LOP, p < 0.0001), history of perinatal death (aOR 2.2 for EOP, p < 0.0001 and 1.48 for LOP, p = 0.007), primipaternity (aOR 3.0 for EOP and 3.6 for LOP, p = 0.001), dizygotic twin pregnancies (aOR 3.7 for EOP, p < 0.0001 and 2.1 for LOP, p = 0.003), monozygotic twin pregnancies (aOR 3.98 for EOP, p = 0.003 and non-significant (NS) for LOP), ovulation induction (aOR 5.6 for EOP, p = 0.004 and NS for LOP), and in vitro fertilization (aOR 2.8 for EOP, p = 0.05 and NS for LOP). Specific to LOP and NS for EOP: renal diseases (aOR for LOP 2.9, p = 0.007) and gestational diabetes mellitus (aOR 1.2, p = 0.04). Conclusions: Maternal ages over 35 years, chronic hypertension, history of preeclampsia, ovulation induction, in vitro fertilizations, history of perinatal deaths and twin pregnancy (in our experience, especially mono zygotic twin pregnancies) are significant risk factors for EOP. New paternity is an independent factor for both EOP and LOP.

scholarly journals Malignant Transformation of Endometrioma in a Woman with a History of Ovulation Induction and In Vitro Fertilization

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Terri L. Woodard ◽  
Awoniyi O. Awonuga ◽  
Elizabeth Puscheck
Keyword(s):  
Ovulation Induction ◽  
Polycystic Ovary ◽  
Exploratory Laparotomy ◽  
Abdominal Hysterectomy ◽  
Endometrioid Adenocarcinoma ◽  
Vitro Fertilization ◽  
Adenocarcinoma Of The Ovary ◽  
History Of ◽  
Radical Abdominal Hysterectomy

Our aim is to document a case of endometrioid adenocarcinoma of the ovary found in an endometriotic cyst that was suspected on pelvic ultrasound in a patient with polycystic ovary syndrome, normal Ca125, and a recent history of ovulation induction for IVF. She underwent an exploratory laparotomy with left salpingo-oophorectomy and omental biopsies followed by reexploration, complete staging, and modified radical abdominal hysterectomy and right salpingo-oophorectomy. An endometrioma described as suspicious for malignancy by an experienced ultrasound examiner should prompt immediate referral to a gynecological oncologist irrespective of Ca125 levels especially in women with a history of ovulation induction and endometriosis.

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