unexpected outcome after expectant management of ectopic pregnancy in two persons

Unexpected outcome after expectant management of ectopic pregnancy in two persons

BACKGROUND Ectopic pregnancy is one of the main problems in women in reproductive age that needs special attention and appropriate strategy should be managed. In some cases expectant management seems good strategy without any medicine or surgery and their possible side effects. But are the outcomes always the same? Which outcomes should we expect? CASE We have reported 2 patients whose ectopi...

Fertility Outcome after Treatment of Unruptured Ectopic Pregnancy with Two Different Methotrexate Protocols

fertility outcome after treatment of unruptured ectopic pregnancy with two different methotrexate protocols

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The METEX study: Methotrexate versus expectant management in women with ectopic pregnancy: A randomised controlled trial

BACKGROUND Patients with ectopic pregnancy (EP) and low serum hCG concentrations and women with a pregnancy of unknown location (PUL) and plateauing serum hCG levels are commonly treated with systemic methotrexate (MTX). However, there is no evidence that treatment in these particular subgroups of women is necessary as many of these early EPs may resolve spontaneously. The aim of this study is ...

Expectant Management of an Acardiac Twin Pregnancy

Definition: A complication of monozygotic twin pregnancies in which one fetus develops normally (pump twin) and the second twin (recipient twin) demonstrates cardiac mal development ranging from complete absence of heart tissue to some formation of rudimentary myocardia. Etiology: Probable reversal of circulation in the anomalous twin resulting from anastomosis of circulation between the twins ...

Fertility Outcome after Treatment of Unruptured Ectopic Pregnancy with Two Different Methotrexate Protocols

BACKGROUND The purpose of this study was to compare the success rates of 70 patients from the same database, each with an ectopic pregnancy (EP) that was treated with either the single- or multi-dose methotrexate (MTX) protocols for unruptured EPs. MATERIALS AND METHODS This study was a blinded, randomized clinical trial. Treatment protocols were either single- (50 mg/m(2)) dose MTX or multi-...