Comparison of the Effects of Different Treatment Methods on Subsequent Reproductive Results in Tubal Ectopic Pregnancy Treatment Tubal Ektopik Gebelik Tedavisinde Farklı Tedavi Yöntemlerinin Sonraki Üreme Sonuçları Üzerine Etkisinin Karşılaştırılması
Turkish Journal of Reproductive Medicine and Surgery, cilt.7, sa.3, ss.101-106, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.24074/tjrms.2023-99057
- Dergi Adı: Turkish Journal of Reproductive Medicine and Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.101-106
- Anahtar Kelimeler: Ectopic pregnancy, methotrexate, salpingectomy, salpingostomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Ideal management of ectopic pregnancy is still debated and effect of initial treatments on future reproductive outcome is a major concern for clinicians’ dealing with reproductive endocrinology. In this study, we aimed to compare the subsequent fertility outcome of patients who were treated for tubal ectopic pregnancy either medically or surgically. Material and Methods: We retrospectively reviewed records of 287 ectopic pregnancy patients who were treated in a tertiary care centre between January 2014 and December 2016. Subsequent reproductive outcomes of patients learned by phone interview. 153 patients accompanied follow-up protocol fully, and gave consent for study in phone interview. Results: Mean age of patients was 31.98. Radical surgery (salpingectomy) was performed in 75 (45%) women, conservative surgery (salpingostomy) was performed in 24 (15%) women, and medical therapy was chosen for 54 (35.2%) women. Nine patients were operated due to failure in medical therapy. Among 153 women who treated for EP, 79 (52%) of them try to conceive. Among the 79 women who attempted to conceive, 40 (51%) became pregnant spontaneously and 19 (24%) got pregnant with assisted reproductive technology Treatment modalities did not differ between patients who could achieve pregnant and who could not. Conclusion: Results of our study show that; it seems preferable, whenever it is possible, choosing a conservative treatment method to potentiate subsequent fertility outcome while not increasing the risk of recurrence.