Ectopic pregnancy: Choosing a treatment and methotrexate therapy
Togas Tulandi, MD, MHCMProfessor of Obstetrics and Gynecology Milton Leong Chair in Reproductive Medicine McGill University, CanadaSection EditorRobert L Barbieri, MD
Robert L Barbieri, MDEditor-in-Chief Obstetrics, Gynecology and Women's Health Section Editor General Gynecology and Female Reproductive Endocrinology Kate Macy Ladd Professor of Obstetrics, Gynecology and Reproductive Biology Harvard Medical SchoolDeputy EditorSandy J Falk, MD, FACOG
Sandy J Falk, MD, FACOGSenior Deputy Editor UpToDate Deputy Editor Obstetrics, Gynecology and Women's Health Clinical Instructor of Obstetrics, Gynecology and Reproductive Biology Harvard Medical School INTRODUCTION
An ectopic pregnancy is a pregnancy outside of the uterine cavity. Almost all ectopic pregnancies occur in the fallopian tube (98 percent) , but other possible sites include cervical, interstitial (also referred to as cornual; a pregnancy located in the proximal segment of the fallopian tube that is embedded within the muscular wall of the uterus), hysterotomy scar, intramural, ovarian, or abdominal. In addition, in rare cases, a multiple gestation may be heterotopic (include both a uterine and extrauterine pregnancy).
Ectopic pregnancy is a potentially life-threatening condition. While surgical approaches are the mainstay of treatment, advances in early diagnosis facilitated the introduction of medical therapy with methotrexate (MTX) in the 1980s . Due to the routine use of early ultrasound among infertile patients who conceive, diagnosis of ectopic pregnancy can be established early and medical treatment can be administered in many cases. The overall success rate of medical treatment in properly selected women is nearly 90 percent [3-5].
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Miscarriage in the First Trimester - Our Bodies Ourselves
Ectopic pregnancy - NHS Choices
Ectopic Pregnancy Examination & Treatment | Ultrasound Care
Anyone ever had an ectopic pregnancy/ 6 weeks with no symptoms - March 2016 Babies - WhatToExpect.com