Document Detail

Reproductive outcome following two ectopic pregnancies.
MedLine Citation:
PMID:  3965317     Owner:  NLM     Status:  MEDLINE    
Consideration of reproductive potential following multiple ectopic pregnancies is important in counseling patients and when choosing a conservative surgical approach (salpingotomy, salpingostomy), partial salpingectomy, or in vitro fertilization. The cases of 336 patients at Yale-New Haven Hospital who had ectopic pregnancies between 1976 and 1981 were evaluated. Thirty-two patients (9.5%) had two ectopic pregnancies. Twenty-three patients (71.8%) were followed. Six of these (26.1%) were not able to conceive because of surgical sterilization, and four (17.4%) were not trying to conceive. Of those 13 patients (56.5%) actively trying to conceive and having at least one tube remaining, 4 (30.8%) had term intrauterine gestations. One had a third ectopic gestation, which represented 20% of all conceptions, or 7.7% of those individuals trying to conceive. Our results indicate that although the reproductive potential after two ectopic pregnancies is poor, viable pregnancies do occur, and the repeat ectopic pregnancy rate is not high enough to preclude a repeat conservative surgical approach.
A H DeCherney; J S Silidker; H C Mezer; B C Tarlatzis
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  43     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1985 Jan 
Date Detail:
Created Date:  1985-02-20     Completed Date:  1985-02-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  82-5     Citation Subset:  IM; J    
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MeSH Terms
Abortion, Therapeutic
Fallopian Tubes / surgery
Follow-Up Studies
Infertility, Female / etiology*
Ovary / surgery
Pregnancy, Ectopic / complications*,  surgery
Pregnancy, Tubal / complications,  surgery
Sterilization, Tubal

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