Abstract: Heterotopic pregnancy is defined as the combined occurrence of intrauterine and extrauterine gestations. It is a rare and dangerous condition. Heterotopic pregnancy is more common when pregnancy is achieved by assisted reproduction techniques than in natural conceptions. A meticulous evaluation is required when an ectopic pregnancy is suspected to rule out the presence of heterotopic pregnancy and thus help in early diagnosis and appropriate management. We report a case of heterotopic pregnancy after ovulation induction in a 29-year female who presents with 8 weeks of amenorrhea and acute pain in lower abdomen associated with single episode of spotting per vaginum.