34 year old female came to us with marital H/O 11 year. A case of primary infertility with repeated IUI failure 6 times. While evaluating USG showed multiple fibroid. Her hormone status was within normal limits. Male side astheno teratozoospermia. Male partner was treated with micronutrient and Antioxidants for 3 months. And she was taken up for ICSI, which was positive in 1st cycle. To our surprise it was heterotropic pregnancy. One intrauterine pregnancy one tubal pregnancy. Tubal pregnancy dealt laparoscopically. Intrauterine pregnancy was continued successfully and delivered male baby by caesarean section.