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March 2010 · Vol. 22, No. 03

Comment & Controversy

Heterotopic pregnancy is still underdiagnosed

WHAT YOU SHOULD KNOW ABOUT HETEROTOPIC PREGNANCY DANIEL M. AVERY, MD, MARION D. REED, MD, AND WILLIAM L. LENAHAN, MD (OCTOBER 2009)

Back in the days before assisted reproduction, I encountered three cases of heterotopic pregnancy in a short time, prompting the article cited below.1 As the authors mentioned, this phenomenon is still underdiagnosed—less so today than in 1961, when we did without the benefit of both ultrasonography and the ability to rapidly and accurately measure human chorionic gonadotropin (hCG) levels.

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