J Gynecol Oncol | Volume 2, Issue 2 | Research Article | Open Access

Non-Surgical Management of Ectopic Pregnancies

Hakim H, Yaich R, Halouani S, Jouou S, Arfaoui R and Rachdi R*

Department of Obstetrics and Gynecology, Military Hospital Tunis, University Tunis El Manar, Tunisia

*Correspondance to: Rachdi R 

Fulltext PDF

Abstract

Ectopic pregnancy is a serious medical condition that can affect the patient’s fertility and even be life threatening in the most severe cases. The frequency of this condition is increasing on par with sexually transmitted diseases and medically assisted procreation techniques. This is a retrospective study concerning 91 cases of ectopic pregnancies among which 56 were treated medically (61.5% of cases) by 1mg of Methotrexate/Kg of body weight. The success rate was 62.5%. The best success predictive factor of medical treatment was hCG level below 1000 mUI/ml. The average hCG negativation time was 21 days. Twenty one ectopic pregnancies didn’t respond to MTX (37.5%). The main fail criteria was the persistence of an hCG level above 15%, (52.3% of case). Fertility was preserved in 53% of cases during 5 years of observation.

Keywords:

Ectopic pregnancy; Methotrexate; Non-surgical; Sexually transmitted infections

Citation:

Hakim H, Yaich R, Halouani S, Jouou S, Arfaoui R, Rachdi R. Non-Surgical Management of Ectopic Pregnancies. J Gynecol Oncol. 2019; 2(2): 1013.

Subscribe to Our Newsletter