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The impact of different management options of ectopic pregnancy on future fertility
Aysegul Bestel1, Osman Samet Gunkaya2, Melih Bestel3, Merve Aldikactioglu Talmac4, Kubra Yazkan Erdoğan1, Hale Goksever Celik51University of Health Sciences Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey2University of Health Sciences Turkey, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey
3Univesity of Istanbul Esenyurt, Esencan Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey
4Başakşehir Çam ve Sakura City Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey
5Acibadem Mehmet Ali Aydinlar University Acibadem Fulya Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey
INTRODUCTION: In this study, our aim was to evaluate the subsequent fertility status of women treated with different methods for ectopic pregnancy.
METHODS: Patients diagnosed with ectopic pregnancy between January 2012 and July 2020 were included in the study. Fertility outcomes of the patients treated with medical or surgical options were questioned.
RESULTS: In the study, 659 patients who met the eligibility criteria were included. A single dose of MTX was administered in 37 patients (32.2%) and two doses of MTX were applied in 14 patients (12.2%) and surgery was preferred in 64 patients (55.7%) in the infertile group. In 213 patients (39.2%) in the fertile group, MTX was administered as a single dose while two doses of MTX and surgery was preferred in in 49 patients (9.0%) and 282 patients (51.8%), respectively. No statistically significant difference was detected between the groups according to treatment approaches.
DISCUSSION AND CONCLUSION: There was no significant difference regarding fertility outcomes following different types of treatments for ectopic pregnancy. For this reason, the methods to be chosen for the treatment of ectopic pregnancy should be evaluated according to the individual factors of the patient.
Manuscript Language: English