Follow-Up of Fertility Results after Ectopic Pregnancy Treatment According to the Type of Treatment

Document Type : Original Article(s)

Authors

1 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Medical Student, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran

3 Assistant Professor, Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Ectopic pregnancy is a relatively common problem in women of reproductive age. This study was conducted with the aim of investigating the relationship between each of the treatment methods performed among women with a history of EP with their future fertility.
Methods: This cross-sectional study was conducted in 2020. A total of 207 patients who were diagnosed with EP in Al-Zahra and Shahid Beheshti hospitals in Isfahan between 2016 and 2018 were included in the study. Demographic characteristics as well as the data about the type of treatment (pharmacological treatment, radical surgery and conservative surgery) that were performed for the patients with previous EP were extracted from their health files. Then, during a phone call with the patients, they were asked about their fertility status after the treatment, then the fertility results of these people in different treatment groups were investigated and compared.
Findings: This study showed that women with past history of EP who were treated with medication had significantly more successful pregnancies than the surgical group. While the comparison between two types of radical and conservative surgical methods did not show a significant difference in pregnancy success.
Conclusion: Successful pregnancy was seen more in patients with previous EP who were treated with medications compared to those who underwent surgery. According to this study, radical and conservative surgery methods had no effect on the success of the next pregnancy.

Highlights

Maryam Hajhashemy: PubMed, Google Scholar

Narges Motamedi: PubMed, Google Scholar

Minoo Movahedi: PubMed, Google Scholar

Tahereh Khalili-Borujeni: PubMed, Google Scholar

Keywords

Main Subjects

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Journal of Isfahan Medical School
Volume 41, Issue 735
3rd Week, November
November and December 2023
Pages 802-808

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History

  • Receive Date: 11 October 2022
  • Revise Date: 08 October 2023
  • Accept Date: 09 October 2023

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