Document Detail


The Value of Hysterosalpingography following Medical Treatment with Methotrexate for Ectopic Pregnancy.
MedLine Citation:
PMID:  21961008     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Emma Garcia Grau; Miguel Ángel Checa Vizcaíno; Mário Oliveira; Judith Lleberia Juanós; Ramon Carreras Collado; Yolanda Canet Estevez
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Publication Detail:
Type:  Journal Article     Date:  2011-09-27
Journal Detail:
Title:  Obstetrics and gynecology international     Volume:  2011     ISSN:  1687-9597     ISO Abbreviation:  Obstet Gynecol Int     Publication Date:  2011  
Date Detail:
Created Date:  2011-09-30     Completed Date:  2011-11-10     Revised Date:  2012-05-07    
Medline Journal Info:
Nlm Unique ID:  101517078     Medline TA:  Obstet Gynecol Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547946     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, Corporació Sanitària Parc Taulí, 08208 Sabadell, Barcelona, Spain.
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