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Right-sided ovarian ectopic pregnancy with Jaydess in situ
Affiliations- Fetal Medicine and Gynecology Department, Medical University of Lodz, Poland
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Abstract
The estimated prevalence of the ectopic pregnancy (EP) is 1–2% of all pregnancies. Ovarian pregnancy is a rare finding with
an incidence rate of 0.15% of all pregnancies and 1–3% of ectopic gestations. The use of intrauterine device (IUD) is a significant
risk factor of ectopic pregnancy. Jaydess levonorgestrel intrauterine system (LNG-IUS) is considered as an extremely
reliable method of contraception with the cumulative Pearl index of approx. 0.9% after a three-year period of use. This study
presents a case of failure of the Jaydess intrauterine device in situ in a female patient with positive Beta Human Chorionic
Gonadotropin (serum b-HCG) who was diagnosed with right-sided ovarian ectopic pregnancy. Although LNG-IUS represents
the group of the most efficient contraception methods, the risks of failure still exist and should be taken into consideration.
Before the insertion, every female patient should be fully informed on the potential adverse effects by a health practitioner.
Abstract
The estimated prevalence of the ectopic pregnancy (EP) is 1–2% of all pregnancies. Ovarian pregnancy is a rare finding with
an incidence rate of 0.15% of all pregnancies and 1–3% of ectopic gestations. The use of intrauterine device (IUD) is a significant
risk factor of ectopic pregnancy. Jaydess levonorgestrel intrauterine system (LNG-IUS) is considered as an extremely
reliable method of contraception with the cumulative Pearl index of approx. 0.9% after a three-year period of use. This study
presents a case of failure of the Jaydess intrauterine device in situ in a female patient with positive Beta Human Chorionic
Gonadotropin (serum b-HCG) who was diagnosed with right-sided ovarian ectopic pregnancy. Although LNG-IUS represents
the group of the most efficient contraception methods, the risks of failure still exist and should be taken into consideration.
Before the insertion, every female patient should be fully informed on the potential adverse effects by a health practitioner.
Keywords
ovarian ectopic pregnancy; contraception; intrauterine device failure; Jaydess levonorgestrel intrauterine system; life-threatening hemorrhage; natural conception
About this articleTitle
Right-sided ovarian ectopic pregnancy with Jaydess in situ
Journal
Issue
Article type
Clinical vignette
Pages
294
Published online
2020-05-29
Page views
1466
Article views/downloads
1081
DOI
Pubmed
Bibliographic record
Ginekol Pol 2020;91(5):294.
Keywords
ovarian ectopic pregnancy
contraception
intrauterine device failure
Jaydess levonorgestrel intrauterine system
life-threatening hemorrhage
natural conception
Authors
Lukasz Panasowiec
Maja Kufelnicka-Babout
Piotr Sieroszewski
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- Gaudoin MR, Coulter KL, Robins AM, et al. Is the incidence of ovarian ectopic pregnancy increasing? European Journal of Obstetrics & Gynecology and Reproductive Biology. 1996; 70(2): 141–143.
- Raziel A, Golan A, Pansky M, et al. Ovarian pregnancy: A report of twenty cases in one institution. American Journal of Obstetrics and Gynecology. 1990; 163(4): 1182–1185.
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