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Success and spontaneous pregnancy rates following systemic methotrexate versus laparoscopic surgery for tubal pregnancies: a randomized trial.

Authors
Type
Published Article
Journal
Acta Obstetricia Et Gynecologica Scandinavica
1600-0412
Publisher
Wiley Blackwell (Blackwell Publishing)
Publication Date
Volume
88
Issue
12
Pages
1331–1337
Identifiers
DOI: 10.3109/00016340903188912
PMID: 19961341
Source
Medline

Abstract

In women with an EP, who are hemodynamically stable and wishing to preserve their fertility, medical treatment with single dose MTX tends to be equal to treatment with laparoscopic surgery regarding success rate, complications, and subsequent fertility. Although the two treatment modalities seemed to be similar in outcome, it is crucial that the diagnosis is based on a high-quality ultrasonographic evaluation, as two patients had intrauterine pregnancies despite fulfilling the diagnostic algorithm for EP.

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