Outcome, complications and future fertility in women treated with uterine artery embolization and methotrexate for non-tubal ectopic pregnancy

Conservative management of cervical ectopic pregnancy: Single‐center experience

“…The most important issue in the treatment of cervical pregnancy is the preservation of fertility and reproductive function. In general, reproductive outcome after conservatively treated cervical pregnancy is good regardless of the mode of treatment . In accordance with previous reports, three of six patients in the present series who did not use contraception achieved natural pregnancy and had live‐born, healthy infants within 1 year.…”

Diagnosis and Management of Ectopic Pregnancy

“…A small case series looking at the future fertility of women undergoing treatment with UAE and systemic methotrexate for nontubal ectopics found that in the 12 women who tried to conceive following treatment, 83% conceived and 58% had a live birth.…”

Laparoscopic temporary bilateral uterine artery occlusion with silicone tubing to prevent hemorrhage during vacuum aspiration of cesarean scar pregnancies

“…They may have a significantly increased risk for blood supply issues, resulting in potential ischemic complications involving the uterus and ovaries, and adverse long‐term effects on fertility . Currently, intra‐arterial administration of medical treatment, together with arterial embolization of both uterine arteries, has been suggested as an alternative treatment for CSP . Temporary bilateral uterine artery occlusion with titanium clips, combined with vasopressin to control the hemorrhage during laparoscopic management of CSP, has been presented .…”

“…29 Currently, intra-arterial administration of medical treatment, together with arterial embolization of both uterine arteries, has been suggested as an alternative treatment for CSP. 30 Temporary bilateral uterine artery occlusion with titanium clips, combined with vasopressin to control the hemorrhage during laparoscopic management of CSP, has been presented. 11 In one study, the mean blood loss was 144 ± 79.6 mL, and there were no complications during removal of gestational ectopic masses via laparoscopy.…”