Comparison of the pregnancy outcomes between the medical and surgical treatments in tubal ectopi pregnancy|
Yousefnezhad, Azadeh; Pirdehghan, Azar; Rad, Mahboubeh Roshandel; Eskandari, Aemeh & Ahmadi, Shahnaz
Background: Various treatments have been proposed to treat ectopic pregnancy, but
their impact on future pregnancies is still the subject of controversy.
Objective: The aim of this study is to compare the medical and surgical treatment
methods and their impact on the subsequent fertility results and complications in
women with a history of ectopic pregnancy.
Materials and Methods: In this analytical, cross-sectional study, 370 women with
the history of ectopic pregnancy, (treared with single dose of methotrexate or
salpingectomy by laparotomy), that referred to Al-Zahra Hospital, Rasht, Guilan
between 2009 to 2013 were enrolled. 147 women responded to the phone call. The
age, the number of women that needed to drug for pregnancy, fertility rate and the
fertility outcomes were studied.
Result: 147 women responded to the call and between them, 114 women tried to get
pregnant again after the ectopic pregnancy treatment. They were agreed to the
participate in the study. The mean age of the patients was 28.56±5.63 yr. The
fertility rates in the medical and the surgical groups were 56.6% and 47.61%,
respectively (p=0.141). There were no significant differences in the poor
consequences of pregnancy among the two groups; ectopic pregnancy (p=0.605),
miscarriage (p=0.605), and prematuredelivery (p=0.648). 15.1% in the medicinal
group and two patients 12.5% in the surgical group had received fertility treatment
in order to get pregnant (p=0.135). There was no significant difference in two
Conclusion: It seems that surgical treatment depending on the underlying variables
of each patient, can be used such as medical treatment, without worrying about its
effect on fertility.
Ectopic pregnancy; Medical treatment; Surgical treatment; Fertility; Infertility.