Efficacy of methotrexate treatment in extrauterine pregnancies defined by stable or increasing human chorionic gonadotropin concentrations1 1Lis Maternity Hospital is affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Israel.

2002 ◽  
Vol 77 (4) ◽  
pp. 761-765 ◽  
Author(s):  
Ronni Gamzu ◽  
Benny Almog ◽  
Yishai Levin ◽  
Amiram Avni ◽  
Ariel Jaffa ◽  
...  
2018 ◽  
Vol 18 (1) ◽  
pp. 51-56
Author(s):  
Koichi Watanabe ◽  
Yoshitsugu Chigusa ◽  
Eiji Kondoh ◽  
Haruta Mogami ◽  
Akihito Horie ◽  
...  

2016 ◽  
Vol 22 (1) ◽  
Author(s):  
Kılıç Çiğdem ◽  
Mehmet Metin Altay ◽  
Tuğba Kınay ◽  
Metin Kaplan ◽  
Serap Fırtına Tuncer ◽  
...  

<p>Objectives: To evaluate the impact of the uterine artery Doppler values and the change of β-Human chorionic gonadotropin (β-HCG) levels from day 0 to day 4 for prediction of the success of single dose methotrexate treatment in tubal pregnancy cases. <br />Study Design: 50 patients with tubal pregnancy were included the prospective study. The location and size of ectopic pregnancy, bilateral uterine artery pulsed color doppler imaging was examined by ultrasonography and serum β-HCG levels were measured on day 0, 4, 7 of treatment. Success was defined as decrease of β-HCG level &lt;10 mIU/mL with single dose methotrexate treatment. Multiple dose methotrexate treatment and surgical treatment were considered as treatment failure.<br />Results: 32 patients (64%) treated with single dose methotrexate, 14 patients (28%) treated with multiple dose methotrexate, and 4 patients (8%) treated with surgery. In the group with β-HCG level decrease &gt; 15.04% on day 4, single-dose methotrexate therapy were 3.82 times more successful than the group without &gt; 15.04% β-HCG decrease. However, no significant alteration of uterine artery Doppler measurements was determined on the same days.<br />Conclusion: Reduction rate in the β-HCG level on day 4 of treatment can be used in determination the success of single-dose methotrexate therapy. <br /><br /></p>


2018 ◽  
Vol 35 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Anne P. Hutchinson ◽  
Nigel Pereira ◽  
Eric R. Chung ◽  
Nirali J. Shah ◽  
Megi Zeku ◽  
...  

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