Realization of fertility after cervical ectopic pregnancy: a case study

The modern approach to managing cervical pregnancy (CP) prioritizes the implementation of an optimized algorithm for diagnosis and treatment, integrating advanced high-tech techniques at all stages of care. This article reports a clinical case involving a 31-year-old female patient diagnosed with CP. Following comprehensive, high-tech therapeutic interventions, the patient successfully achieved restoration of her reproductive function. Diagnostic methodologies employed included the measurement of the β-subunit of human chorionic gonadotropin levels in blood serum, pelvic ultrasonography, and magnetic resonance imaging for detailed visualization of the gestational sac and assessment of the interface between the chorion and the cervical stroma Standard general clinical tests were also conducted to support the diagnostic process. The treatment tactics comprised low-dose metronomic chemotherapy, selective uterine artery embolization, and subsequent curettage of the cervical canal and uterine cavity under hysteroscopic guidance. This organ-sparing, multimodal therapeutic approach was instrumental in minimizing the risk of hemorrhage and preserving the patient's reproductive potential for the delayed period. KEYWORDS: cervical pregnancy, ectopic pregnancy, uterine artery embolization, fertility preservation, miscarriage. FOR CITATION: Vartanyan E.V., Kiryushenkov P.A., Kozachenko A.V., Devyatova E.A., Tsaturova K.A. Realization of fertility after cervical ectopic pregnancy: a case study. Russian Journal of Woman and Child Health. 2025;8(1):38–42 (in Russ.). DOI: 10.32364/2618- 8430-2025-8-1-6