Ectopic pregnancy following levonorgestrel emergency contraception: a case report.

نویسندگان

  • Oktay Kaymak
  • Yavuz Simşek
  • Melike Doğanay
  • Yasemin Yıldız
  • Leyla Mollamahmutoğlu
چکیده

Hormonal contraceptive pills containing 750 microgram levonorgestrel are the most commonly used postcoital contraceptive method because of their high efficacy and fewer side effects. Emergency contraceptive pills containing levonorgestrel present their effects by several mechanisms, including delayed tubal transport of the ovum. A delay of tubal transportation of an ovum is also one of the possible etiologic factors of tubal ectopic pregnancies. There are limited data on the risk of ectopic pregnancy following levonorgestrel treatment as an emergency contraception. Here, a case of tubal pregnancy associated with the use of levonorgestrel containing emergency contraceptive pills has been presented along with discussion of the relevant literature.

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منابع مشابه

Association between knowledge about levonorgestrel emergency contraception and the risk of ectopic pregnancy following levonorgestrel emergency contraception failure: a comparative survey†

OBJECTIVE To study the association between knowledge about levonorgestrel emergency contraception (LNG-EC) and the risk of ectopic pregnancy (EP) following LNG-EC failure. METHODS This study included 600 women who had visited the hospital with LNG-EC failure. Of these, 300 with EP and 300 with intrauterine pregnancy (IUP) were recruited to the EP group and IUP group respectively. The particip...

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References 1 McCann M, Potter L. Progestin-only oral contraception: a comprehensive review. Contraception 1994; 50(6): S44–S49. 2 Fabunmi L, Perks N. Caesarean section scar ectopic pregnancy following postcoital contraception. J Fam Plann Reprod Health Care 2002: 28: 155–156. 3 WHO Task Force on Postovulatory Methods of Fertility Regulation. Randomised controlled trial of levonorgestrel versus ...

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Association between levonorgestrel emergency contraception and the risk of ectopic pregnancy: a multicenter case-control study

Cases of ectopic pregnancy (EP) following levonorgestrel emergency contraception (LNG-EC) failure have been reported continuously, but whether there is an association between EP risk and LNG-EC is unclear. We concluded a case-control study to explore this association by recruiting 2,411 EP patients as case group, and 2,416 women with intrauterine pregnancy and 2,419 non-pregnant women as contro...

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Expressions of candidate molecules in the human fallopian tube and chorionic villi of tubal pregnancy exposed to levonorgestrel emergency contraception

BACKGROUND Cases of ectopic pregnancy (EP) following levonorgestrel (LNG) emergency contraception (EC) failure were reported, however, the effects of LNG on tubal microenvironment or chorionic villi in EP have not yet been documented. METHODS Fifty-five women with tubal pregnancy were divided into two groups according to whether LNG-EC was administrated during the cycle of conception. The ser...

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Emergency contraception and ectopic pregnancy: report of 2 cases.

The incidence of ectopic pregnancy has been increasing over the last few years, reaching a value of 1 case in 80 pregnancies, and it continues to be the main cause of maternal death during the first trimester in the United States. The main causes of tubal ectopic pregnancy, which generally results from damage to or dysfunction of the fallopian tubes, are salpingitis, previous tubal surgeries, a...

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عنوان ژورنال:
  • Journal of the Turkish German Gynecological Association

دوره 11 3  شماره 

صفحات  -

تاریخ انتشار 2009