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## Betamethasone/clomifene Heterotopic pregnancy, ovarian hyperstimulation and drug exposure during pregnancy: case report A 31-year-old woman developed heterotopic pregnancy and ovarian hyperstimulation during treatment with clomifene for induction of ovulation. Subsequently, she received betamethasone during pregnancy [routes and duration of treatment to reactions onsets not stated; not all dosages stated]. The pregnant woman, with gravida 3 and parity 2, presented to the emergency department with abdominal pain at 9 weeks 2 days of gestation dated by last menstrual period (LMP) consistent with ultrasound. She took over-the-counter clomifene 50mg [clomiphene citrate] which was obtained abroad for 5 days on alternating days following her LMP. She conceived after administration to clomifene. She reported that she used ovulation predictor kits to help time intercourse and correlated results with symptoms such as pelvic pain. Transvaginal ultrasound showed an intrauterine dichorionic diamniotic twin gestation. The left ovary was not seen and had free fluid around it which suggested haemorrhagic cyst rupture. A corpus luteum cyst was in the right ovary. Abdominal examination was benig

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Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)