Skip to main content
Log in

Gestational trophoblastic disease following in vitro fertilization

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. 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

    Article  PubMed  CAS  Google Scholar 

  2. Wade RV (1980) Clomiphene-citrate-induced hydatidiform mole. South Med J 73:1417–1418

    PubMed  CAS  Google Scholar 

  3. Tanos V, Meirow D, Reubinoff BE, Anteby SO (1994) Recurrent gestational trophoblastic disease following in-vitro fertilization. Hum Reprod 9:2010–2013

    PubMed  CAS  Google Scholar 

  4. Petignat P, Vassilakos P, Campana A (2002) Are fertility drugs a risk factor for persistent trophoblastic tumour? Hum Reprod 17:1610–1615

    Article  PubMed  Google Scholar 

  5. 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

    PubMed  CAS  Google Scholar 

  6. 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

    PubMed  CAS  Google Scholar 

  7. Rawlins RG, Binor Z, Radwanska E, Dmowski WP (1998) Microsurgical enucleation of tripronuclear human zygotes. Fertil Steril 50:266–272

    Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiaoyan Huang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-006-0230-3

Keywords

Navigation