Reproductive outcomes after medical and surgical management of ectopic pregnancy

Clinical Obstetrics and Gynecology, 04/27/2012

Laparoscopic salpingostomy or salpingectomy remains the preferred means of surgical removal of ectopic pregnancies. The most predictive factor of future fertility is the health of the contralateral tube.

  • 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.

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