این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Journal of Medical Sciences، جلد ۴۹، شماره ۷، صفحات ۴۶۱-۴۶۶
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Successful Management of Cervical and Tubal Stump Double Pregnancy after Assisted Reproductive Technologies Using Multiple High Doses of Methotrexate: A Case Report
چکیده انگلیسی مقاله The incidence of ectopic pregnancy (EP) has increased in recent years, owing to causes such as pelvic inflammatory diseases and assisted reproductive technologies (ART). The present study reported a case of a 33-year-old nulliparous woman with a history of previous ectopic pregnancies, who underwent pelvic ultrasound in August 2022, which revealed a double EP including a cervical pregnancy and a tubal stump pregnancy. Despite known risk factors and elevated beta-human chorionic gonadotropin (β-hCG) levels, a conservative approach, utilizing multiple doses of systemic methotrexate (MTX) injections, was employed to preserve fertility at the Regional Perinatal Center in Aktobe, Kazakhstan. Treatment efficacy was monitored through β-hCG levels and ultrasound imaging, with successful resolution of both EPs and preservation of reproductive function. The present case highlighted the safety and efficacy of MTX therapy in managing complex EP presentations, emphasizing the necessity of individualized treatment approaches in reproductive medicine, particularly in terms of preserving fertility in patients undergoing ART. Multiple high doses of MTX injections were beneficial for pregnancy with two distinct regions, fetal cardiac activity, and elevated serum β-hCG level. Further research is required to explore optimal treatment strategies for EP, considering patient-specific factors and treatment goals.
کلیدواژه‌های انگلیسی مقاله Pregnancy, ectopic, Methotrexate, Reproductive techniques, assisted
نویسندگان مقاله Andrey Gaiday |
Department of Obstetrics and Gynecology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

Akylbek Tussupkaliyev |
Department of Obstetrics and Gynecology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

Abay Nurken |
Department of Gynecology, Regional Perinatal Center, Aktobe, Kazakhstan

Assel Gaiday |
Department of Gynecology, Regional Perinatal Center, Aktobe, Kazakhstan

Ainur Primbetova |
Department of Gynecology, Regional Perinatal Center, Aktobe, Kazakhstan

Moldir Dossimbetova |
Department of Obstetrics and Gynecology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

Assemgul Yeszhanova |
Department of Gynecology, Regional Perinatal Center, Aktobe, Kazakhstan

Bibigul Karimsakova |
Department of General Medical Practice, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

Nurgul Ablakimova |
Department of Pharmacology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

نشانی اینترنتی https://ijms.sums.ac.ir/article_50184_92fef8e69b47c0d29aa88f7500cb108a.pdf
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات