Volume 55, Number 2, June 2012
Gary H. Lipscomb, MD, Department of Family Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Widespread availability of improved assays for progesterone, hCG, transvaginal ultrasound, and the use of diagnostic algorithms that do not require laparoscopy now permit earlier diagnosis of ectopic pregnancy not only prior to rupture but often prior to symptoms. Mortality and morbidity associated with this disease has steadily declined despite an increase in incidence. Numerous treatment options are available for unruptured ectopic pregnancies that allow preservation of the affected tube and future reproductive options. This symposium reviews current diagnostic and treatment options, potential pitfalls and diagnostic dilemmas, and optimum candidates for each form of treatment.