Tubal patency following surgical and clinical treatment of ectopic pregnancy

Abstract

The findings from this study suggest similar contralateral tubal patency rates following salpingectomy, methotrexate treatment and expectant management.

Diagnosis and Management of Ectopic Pregnancy

“…There is no difference in the tubal patency rates as examined by hysterosalpingography in women whose tubal ectopic pregnancies were managed expectantly or medically in the ipsilateral tube, or among those managed expectantly, medically or surgically in the contralateral tube …”

Frequency and related factors of tubal patency after methotrexate treatment in women with ectopic pregnancy

“…Thirty patients received single‐dose intramuscular injection of methotrexate 50 (mg/m2) and 35 patients underwent the salpingostomy method. The frequency of ipsilateral tubal patency in patients treated with methotrexate was 84% and in salpingostomy patients it was 83% . The success rate for tubal patency with methotrexate was the same as that for surgery.…”

Methotrexate versus Methotrexate Combined with Letrazole for Management of Undisturbed Ectopic Pregnancy

“…Additionally, the ectopic pregnancy takes a long time to resolve after starting methotrexate treatment, and it is necessary to wait many weeks before trying to get pregnant again. Additionally, it is not unexpected for there to be adverse effects on ovarian reserve and prospective future fertility (4) .…”