Abstract
This chapter includes clinical cases, background, evidence‐based practical management options, preventive measures, key‐point summaries of cervical ectopic pregnancy after IVF and answers to questions patients ask. Cervical ectopic pregnancy results from the implantation of a pregnancy in the endocervical canal, with a reported incidence of 1 in 2,000–18,000 live births, accounting for less than 1% of all ectopic pregnancies. Until the early 1980s, clinical diagnosis of cervical pregnancy was usually made when uncontrollable hemorrhage was encountered during curettage for presumed incomplete miscarriage. Women with cervical pregnancy classically present with painless first trimester vaginal bleeding. Treatment options for cervical pregnancy depend overall on the gestational age and the woman's desire to maintain fertility. Although there is little information on risks in conceiving soon after treatment of cervical pregnancy treated with methotrexate, it is preferable to wait for at least 6 months before the next pregnancy.