Tubal patency and pregnancy rate following surgical and medical treatments of ectopic pregnancy

Ectopic pregnancy is defined as the implantation of a fertilized ovum outside the endometrial cavity, most commonly in the fallopian tubes. The high incidence of ectopic pregnancies can to some extent be related to the fact that the early diagnosis of pregnancy can be made with the use of β-hCG and ultrasound scans to identify the location of an early pregnancy.

current study was conducted to (1) assess tubal patency by using hysterosalpingography following surgical and medical treatments of tubal pregnancy, and 92) to assess pregnancy rates following surgery and medical treatment of patients with ectopic pregnancy.

An interventional controoled clinical study involved 300 women diagnosed with ectopic pregnancy at Bint-Alhuda Teaching Hospital in Thi-Qar Governorate, Iraq. They were divided into two groups according to the patients’ preference; the first group treated with methotrexate while the second group treated surgically. Hysterosalpingography was done to all patients in both groups after three months of treatment, and both groups were followed up for one year waiting for pregnancy.

Tubal patency and spontaneous pregnancy rate is higher in the medically-treated group of patients. The contralateral tubal blockage was 11.5% in surgical-treated group, while 5.85% in medical-treated group. The spontaneous pregnancy rate was higher in medical-treated group (81.81%), while (58.66%) in the surgical-treated group.

Better fertility potential and hysterosalpingography findings have been found after the medical treatment for patients with tubal ectopic pregnancy than those who are treated surgically.