Acta clinica Croatica, Vol. 60. No. 3., 2021.
Original scientific paper
https://doi.org/10.20471/acc.2021.60.03.02
Fertility Outcomes after Medical and Surgical Management of Tubal Ectopic Pregnancy
Senem Arda Düz
orcid.org/0000-0002-9325-7993
; Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Inonu University Faculty of Medicine, Malatya, Turkey
Abstract
The objective was to investigate whether the method of treatment (surgical or
medical) affects achieving a new pregnancy, as well as the time to and prognosis of the new pregnancy,
in women with ectopic pregnancy (EP). Information on patients treated in our hospital between 2013
and 2014 for EP was retrieved from the computerized patient records. Data on whether these patients
achieved pregnancy after EP treatment, time from treatment to new pregnancy, and prognosis of
pregnancy were collected by phone interviews. A total of 101 women were analyzed. In addition to
descriptive analysis, the χ2-test and Kruskal Wallis test were used to compare the groups. A new pregnancy
was present in 84 (83.2%) of the women after EP treatment. There was no significant difference
among the women having undergone medical treatment (methotrexate), surgical treatment, medical
treatment followed by surgical treatment, or observational management approach in terms of achieving
a new pregnancy after treatment and time to and prognosis of the new pregnancy. The study could
not determine which treatment method would be superior in women with EP and in planning future
pregnancy, but concluded that close clinical and laboratory monitoring is appropriate before deciding
on aggressive interventions.
Keywords
Ectopic pregnancy; Fertility outcome; Treatment method
Hrčak ID:
271321
URI
Publication date:
1.9.2021.
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