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 […]
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The METEX study: Methotrexate versus expectant management in women with ectopic pregnancy: A randomised controlled trial To study whether expectant management is an alternative to treatment with systemic MTX in a single dose im regimen in women with an EP and low but plateauing serum hCG concentrations in terms of tubal rupture, future pregnancy, health […]
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 […]
Leroy Edozien, MRCP. FRCOG is a Consultant Obstetrician and Gynaecologist at St Mary’s Hospital, Manchester and Honorary Senior Lecturer, Maternal and Fetal Health Research Centre at the University of Manchester. He considers how advances in technology have facilitated early diagnosis of ectopic pregnancy, which in turn has increased the scope for non-surgical treatment. In his article “Non-surgical […]
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If you have been diagnosed as having an ectopic pregnancy and are stable, with pulse and blood pressure within normal limits, and there is no heavy bleeding or severe pain, and if there are no signs of dizziness or fainting, the doctor will be able to discuss various treatment options with you.
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Your body goes through a process of recovery following an ectopic pregnancy and it is important that you be gentle with yourself and give yourself time to heal. It is not unusual to have many questions.
The two questions asked first by most women who have had an ectopic pregnancy are “how will this impact on my future fertility” and “what are the chances of me having an ectopic pregnancy in a future pregnancy”. A new study published in the journal Fertility and Sterility from the research group in Clermont Ferrand […]