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Endometriosis is a well established cause of female infertility and may be associated with early pregnancy losses. Association of endometriosis with pregnancy is rare. Ruptured endometriotic cyst presenting as acute abdomen in pregnancy is even a rarer presentation. We present hereby a rare and interesting case, presented in our hospital, of Spontaneous rupture of endometiotic Cyst in 3rd trimester of pregnancy and its subsequent management.

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Background: For many couples' advent of a baby is the most beautiful gift of life. Involuntary childlessness by itself does not threaten physical health but can have a strong impact on the psychological and social wellbeing of couples. The aim of the present investigation was comparison of different ovulation protocols in patients undergoing controlled ovulation hyperstimulation with Intra uterine insemination. Methods: A Prospective observational study was conducted in the department of obstetrics and gynaecology. 200 couples who underwent 541 cycles with controlled ovarian hyperstimulation. Variables selected for analysis were female age, menstrual history, duration of infertility, number of cycles, number dominant follicle diameter, endometrial thickness. Results: Maximum patients underwent ovulation induction with clomiphene citrate (202/541) and then with letrozole (202/541). Conclusions: Nowadays when the costs of health care are limited, intrauterine insemination can hold its place as a low-cost method of infertility treatment. Conclusively with careful selection of subjects, appropriate controlled ovarian stimulation and intra uterine insemination, good pregnancy rates with low multiple pregnancy rates can be achieved.

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