Abstract
Background
Gestational trophoblastic disease (GTD) after fertility therapy seems to be a rare complication despite the widespread use of these treatments. Despite embryos derived from normally fertilized oocytes were transferred, molar pregnancies still occurring.
Cases
Two patients underwent first cycle of in vitro fertilization (IVF) for management of infertility related to tubal obstruction. GTD was diagnosed by histopathology.
Conclusion
It is unlikely that this complication is directly related to the technique of IVF itself but rather the characteristics of women and the partner attending for assisted conception make them more at risk of molar pregnancies. The management includes prompt curettage and regular follow-up.
References
Bates M, Everard J, Wall L, Horsman JM, Hancock Bw (2004) Is there a relationship between treatment for infertility and gestational trophoblastic disease? Hum Reprod 19:365–367
Wade RV (1980) Clomiphene-citrate-induced hydatidiform mole. South Med J 73:1417–1418
Tanos V, Meirow D, Reubinoff BE, Anteby SO (1994) Recurrent gestational trophoblastic disease following in-vitro fertilization. Hum Reprod 9:2010–2013
Petignat P, Vassilakos P, Campana A (2002) Are fertility drugs a risk factor for persistent trophoblastic tumour? Hum Reprod 17:1610–1615
Pal L, Toth TL, Leykin L, Isaacson KB (1996) High incidence of triploidy in in-vitro fertilized oocytes form a patient with a previous history of recurrent gestational trophoblastic disease. Hum Reprod 11:1529–1532
Petignat P, Senn A, Hohlfeld P, Blant SA, Laurini R, Germond M (2001) Molar pregnancy with a coexistent fetus after intracytoplasmic sperm injection. J Reprod Med 46:270–274
Rawlins RG, Binor Z, Radwanska E, Dmowski WP (1998) Microsurgical enucleation of tripronuclear human zygotes. Fertil Steril 50:266–272
Montes-de-Oca-Valero F, Macara L, Shaker A (1999) Twin pregnancy with a complete hydatidiform mole and co-existing fetus following in-vitro fertilization: case report. Hum Reprod 14:2905–2907
Kwon HE, Park EJ, Kim SH, Chae HD, Won HS, Kim CH, Kang BM (2002) A case of twin pregnancy with complete hydatidiform mole and coexisting fetus following IVF-ET. J Assist Reprod Genet 19:144–148
Reubinoff BE, Lewin A, Verner I, Safran A, Schenker JG, Abeliovich D (1997) Intracytoplasmic sperm injection combined with preimplantation genetic diagnosis for the prevention of recurrent gestational trophoblastic disease. Hum Reprod 12:805–808
Fisher RA, Khatoon R, Paradinas FJ, Roberts AP, Newlands ES (2000) Repetitive complete hydatidiform mole can be biparental in origin and either male or female. Hum Reprod 15:594–598
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Huang, X., Wang, H., Zhao, X. et al. Gestational trophoblastic disease following in vitro fertilization. Arch Gynecol Obstet 275, 291–293 (2007). https://doi.org/10.1007/s00404-006-0230-3
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DOI: https://doi.org/10.1007/s00404-006-0230-3