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Reproductive Outcomes After Medical and Surgical Management of Ectopic Pregnancy

JUNEAU, CAROLINE MD*; BATES, GORDON WRIGHT MD

Clinical Obstetrics & Gynecology: June 2012 - Volume 55 - Issue 2 - p 455–460
doi: 10.1097/GRF.0b013e3182510a88
Ectopic Pregnancy

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 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.

*Department of Obstetrics and Gynecology;

Division of Reproductive Endocrinology and Infertility, University of Alabama at Birmingham, Birmingham, Alabama

The authors declare that they have nothing to disclose.

Correspondence: Gordon Wright Bates, MD, UAB Department of Obstetrics and Gynecology, Women & Infants Center, Room 10390, Birmingham, AL. E-mail: wbates@uab.edu

© 2012 Lippincott Williams & Wilkins, Inc.