Recurrent molar pregnancy after ovulation induction and repeat ovulation induction. A case report.

BACKGROUND

Although hydatidiform mole is not commonly encountered following ovulation induction, patients who have already had molar pregnancies are at increased risk of developing further molar diseases with worsening histologic characteristics. That fact underlies the ethical dilemma of repeat ovulation induction.

CASE: A 38-year-old woman, gravida 3, para 0, had three consecutive episodes of hydatidiform subsequent to clomiphene citrate and gonadotropin ovulation induction. She seems to be the first in the literature to develop three consecutive molar pregnancies without a normal intrauterine pregnancy.

CONCLUSION

Although ovulation induction commenced again in this patient after she gave informed consent, the risks underlying the ethical dilemma persist.