Published online Oct 26, 2018. doi: 10.12998/wjcc.v6.i12.559
Peer-review started: July 2, 2018
First decision: July 29, 2018
Revised: August 21, 2018
Accepted: August 27, 2018
Article in press: August 28, 2018
Published online: October 26, 2018
Processing time: 118 Days and 22.2 Hours
It is inevitable to encounter a potential pregnancy under hysteroscopy during the follicular phase. Gentle and careful operation, timely identification of images under hysteroscopy and taking appropriate measures can benefit the patients to the largest extent.
Early pregnancy.
Endometrial lesions.
Urine pregnancy test confirmed the diagnosis of pregnancy.
Thickened and decidualized endometrium suggested a suspected diagnosis of early pregnancy.
A follow-up of the patient until full-term delivery, without treatment or drug used.
A few cases have been published on this issue. However, most of the patients in those cases underwent hysteroscopy during implantation phase and the images under hysteroscopy were normal. However, no hysteroscopic images were provided in these cases.
The levonorgestrel intrauterine system (LNG IUS) is a T-shaped, plastic, contraceptive IUS that releases the progestin hormone levonorgestrel into the uterus at a dose of 20 μg/d for up to five years. LNG IUS prevents pregnancy by thickening cervical mucus, inhibiting sperm motility, and suppressing the growth of the uterine wall.
Consideration should be given to routine pregnancy testing of women with infertility before hysteroscopy, because scheduling on the basis of menstrual cycle dates can be unreliable. It is very important to perform hysteroscopy gently and carefully.