Medical management of ectopic pregnancy

Clinical Obstetrics and Gynecology
A B Namnoum

Abstract

In selected patients who are hemodynamically stable with an unruptured tubal pregnancy, systemic methotrexate has success rates comparable to laparoscopic salpingostomy. Larger randomized studies are necessary to adequately assess subsequent fertility. Local injection of methotrexate or other agents requires a sonographically visible ectopic as well as technical skills, and has less consistent success rates than that of systemic MTX therapy.

References

Nov 1, 1992·Obstetrical & Gynecological Survey·S Kooi, H C Kock
Jul 1, 1992·Fertility and Sterility·T TulandiS Khalife
Oct 24, 1987·Lancet·T Phillips, O Kehinde
May 14, 1988·Lancet·C Egarter, P Husslein
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Mar 1, 1997·Fertility and Sterility·M Yao, T Tulandi
Oct 28, 1997·Fertility and Sterility·L D Thoen, M D Creinin

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Citations

Sep 10, 2003·Emergency Medicine Clinics of North America·David Della-Giustina, Mark Denny
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·K FloJ M Maltau

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