Nonsurgical management of ectopic pregnancy associated with severe hyperstimulation syndrome

An anovulatory patient was treated with human menopausal gonadotropin and human chorionic gonadotropin. The patient developed severe ovarian hyperstimulation and became pregnant with an ectopic gestation after ovulation induction. Because of the presence of severe ascites and massive ovarian enlargement, it was elected to treat this patient with methotrexate therapy rather than surgery.