Does treatment for the resolution of ectopic pregnancy (EP) affect subsequent spontaneous fertility ? This is an important question that many patient ask when confronthed with the possibility of losing a fallopian tube because of an extopic pregnancy.
Two different treatments are available in the case of an ectopic : medical and surgical.
The medical treatment consists in using a drug called Methotrexate. Methotrexate induces the placental part of the pregnancy to reabsorb.
Unfortunately Methotrexate does not always work or, in some cases , patients may not be candidates for methotrexate if the pregnancy is too advanced.
In this case surgery is an option > The surgery in some cases may involve removing the tube.
Well, the good news is that this randomized study shows that , regardless of the approach , the chance of success is still very good.
Cumulative fertility curves were not significantly different between medical treatment and conservative surgery. HR was 0.85 (0.59–1.22) P = 0.37. The 2-year rates of IUP were 67% after medical treatment and 71% after conservative surgery. Arm 2 ( More advanced ectopic NDR) : cumulative fertility curves were not significantly different between conservative and radical surgery. HR was 1.06 (0.69–1.63) P = 0.78. The 2-year rates of IUP were 70% after conservative surgery and 64% after radical surgery.
Source : Human Reproduction
You can find the article : here
