Multimodal Conservative Management of Nulliparous Female with Cervical Ectopic Pregnancy: A Case Report

Abstract

Cervical ectopic pregnancy is an extremely rare condition with catastrophic sequelae if timely, appropriate management is not performed. Some risk factors predispose patients to this condition, but in our case, no predisposing risk factors were present. Nulliparity and young age are the most challenging points for fertility conservation, and multimodal conservative management is a highly successful option for appropriately selected patients. A 22-year-old nulliparous patient presented to our tertiary university hospital for a viable 8-week cervical ectopic pregnancy after failure of treatment with two doses of methotrexate. Confirmation of the diagnosis was achieved, and our team selected a multimodal conservative management approach. During admission, severe bleeding was recognized early on, and the patient was successfully handled with satisfactory fertility preservation outcomes. Fertility preservation is the most challenging point when dealing with cervical ectopic pregnancy, especially in young nulliparous women. However, the best way to manage cervical ectopic pregnancy has not yet been confirmed, and multimodal conservative management can be an effective method.