The EPT

Abstract The majority of ectopic pregnancies can be diagnosed on transvaginal scan before treatment. Diagnosis should be based on positive visualization of an ectopic pregnancy rather the inability to visualize an intrauterine pregnancy. The majority of ectopic pregnancies will be visible on the initial transvaginal scan performed. Those who do not have their ectopic pregnancies [...]

A recent study accepted for publication in The Endocrine Society’s Journal of Clinical Endocrinology & Metabolism (JCEM) shows that the hormone adrenomedullin (ADM) may help predict ectopic pregnancy. “This is the first report to address the effect of ADM on cilia beat frequency and muscular contraction in the oviduct,” says the lead author of this [...]

Abstract Unless an ectopic pregnancy is visible by ultrasound, diagnosis can be a challenge. Differentiating ectopic pregnancies from intrauterine pregnancies can be impossible without intervention or follow-up. This poses a clinical dilemma to the practitioner given the inherent danger to the mother of tubal rupture of an ectopic pregnancy versus the fear of intervening in [...]

Abstract Ectopic pregnancies have a negative impact on future fertility. Prompt diagnosis is paramount to preserve tubal function and reproductive potential. Expectant, medical, and surgical management of ectopic pregnancies have similar efficacy in properly selected patients. Medical management has emerged as a safe alternative to surgery and holds promise for preservation of future fertility. Laparoscopic [...]

Abstract This article will provide a review of the literature regarding expectant management of ectopic pregnancy. Detailed definitions and methods of evaluation are discussed, as well as pooled existing data on success rates of expectant management. A comparison of expectant management versus other treatment options is provided as well as a review of fertility outcomes [...]

Irritable bowel syndrome (IBS) is the most commonly diagnosed gastrointestinal condition and is most prevalent in women of reproductive age. Research undertaken at the University College Cork (UCC) and the University of Manchester by Ali S. Khashan Eamonn M.M. Quigley Roseanne McNamee Fergus P. McCarthy Fergus Shanahan Louise C. Kenny report that there appears to be an increase in the risk [...]

The 22nd World Congress on Ultrasound in Obstetrics and Gynecology, Copenhagen, Denmark, will be held between the 9-12 September 2012 ISUOG invites you to submit your abstracts by Monday 9 April 2012 A special reduced registration fee is available to those who submit abstracts. (For your abstract to be considered you must register for the [...]

Human Fallopian tube epithelium constitutively expresses integrin endometrial receptivity markers: no evidence for a tubal implantation window Link to abstract in MHR J.K. Brown, J.L.V. Shaw1, H.O.D. Critchley and A.W. Horne* Understanding of ectopic implantation within Fallopian tube (FT) is limited. In the human uterus, the putative ‘window of implantation’ in the mid-luteal phase of the [...]

Dr Andrew Horne, medical advisor to The EPT and his colleage, Colin Duncan are giving a lecture at the Edinburgh Science Festival 2012.     Their talk “Why do pregnancies implant in the wrong place?” Will cover the following points

Description of a model to define the incidence and outcome of intrauterine pregnancy of uncertain viability (PUV) and to develop and assess the performance of a model and a scoring system to predict ongoing viability.