scholarly journals The Value of Hysterosalpingography following Medical Treatment with Methotrexate for Ectopic Pregnancy

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Emma Garcia Grau ◽  
Miguel Ángel Checa Vizcaíno ◽  
Mário Oliveira ◽  
Judith Lleberia Juanós ◽  
Ramon Carreras Collado ◽  
...  

After an ectopic pregnancy (EP) fertility decreases, mostly due to tubal factor. Hysterosalpingography (HSG) is the most cost-effective tool for tubal patency assessment.Objective. To evaluate the usefulness of a HSG after a medical treatment for an EP, in order to counsel women on the most appropriate way to conceive future pregnancies.Methods. Between 1998 and 2008, 144 patients were submitted to medical treatment for an EP and performed HSG 3 months after the event.Results. 72.2% of normal HSG, 18.8% with unilateral obstruction, 6.3% tubal patency with defect, and 2.8% bilateral obstruction.Conclusion. Routine HSG following medical treatment for an EP does not seem necessary, as it does not change the initial management in 97.2% of the cases, but might be considered in selected risk cases, permitting timely referral of patients to in vitro fertilization.

2008 ◽  
Vol 90 (5) ◽  
pp. 2003.e17-2003.e20 ◽  
Author(s):  
Eniko Berkes ◽  
Gyorgy Szendei ◽  
Laszlo Csabay ◽  
Zsuzsanna Sipos ◽  
Jozsef Gabor Joo ◽  
...  

Author(s):  
Shrinkhla Khandelwal ◽  
Neeta Natu

Ovarian pregnancy is a rare form of extrauterine ectopic pregnancy. Risk factors such as reproductive treatments and infertility have been identified in recent studies. In this article, we present a case of ovarian ectopic pregnancy occurring following in vitro fertilization treatment and a fresh embryo transfer. The diagnosis of ovarian pregnancy was made during transvaginal sonography performed due to suspected ectopic pregnancy. Ovarian ectopic pregnancy is a rare clinical phenomenon. Late diagnosis and lack of appropriate intervention may have catastrophic results. Several mechanisms and risk factors are proposed, and their acknowledgment may improve early diagnosis and prevention of complications.


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